Active NPI
Melissa Meboe, MSSW
- Clinical Social Worker
- Jefferson, WI
National Provider Identifier
1457570764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 88723-123
- Practice address
- 147 W Rockwell St
Jefferson, WI 53549-2048 - Phone
- (920) 674-6255
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 88723-123 | WI | Primary |
Addresses
Primary practice location
147 W Rockwell St
Jefferson, WI 53549-2048
Mailing address
147 W Rockwell St
Jefferson, WI 53549-2048
Phone (920) 674-6255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88723-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Hospice Care, Inc. | Clinical | Current | Accepting new patients |
Locations
147 W Rockwell St
Jefferson, WI 53549
Phone (920) 674-6255
1225 Remmel Dr
Watertown, WI 53094
Phone (920) 674-6255
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": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1457570764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 W ROCKWELL ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492048",
"telephone_number": "920-674-6255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 W ROCKWELL ST",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535492048",
"telephone_number": "920-674-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEBOE",
"first_name": "MELISSA",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "88723-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.