Individual provider Active NPI

Melanie Kay Vause

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1457072563
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10 Guest St
Boston, MA 02135-2066
Phone
(781) 647-9976
Fax
(781) 647-9956
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

10 Guest St
Boston, MA 02135-2066

Mailing address

1645 Birmingham LN
Crystal Lake, IL 60014-1914
Phone (815) 307-0848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423001434 IL Practitioner - Clinical Social Worker 9234606609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 Geneva Rd
Apt 13a
St Charles, IL 60174-4203

1000 Geneva Rd Apt
13A
St Charles, IL 60174-4218

1950 Dekalb Ave
Suite E
Sycamore, IL 60178-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oakheart, Center for Counseling, Mediation, and Consultation, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1457072563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 BIRMINGHAM LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141914",
            "telephone_number": "815-307-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GUEST ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021352066",
            "telephone_number": "781-647-9976",
            "fax_number": "781-647-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUSE",
        "first_name": "MELANIE",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.