Melissa J Landram, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253835 Issued in KY

Practice address

10300 Brookridge Village Blvd Ste 202
Louisville, KY 40291-4474

Phone

(502) 314-2237

Fax

(844) 379-5157

NPI assigned

Mar 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Astra Behavioral Health LLC

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1922427517
  Medicare reassignment Care Compare group NPD
• Better Health Consultants, LLC

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1417542762
  NPD (past)
• Safari Kidz Kounseling LLC

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1649512047
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1457714404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ALLISON AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041760",
            "telephone_number": "502-827-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 BROOKRIDGE VILLAGE BLVD STE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914474",
            "telephone_number": "502-314-2237",
            "fax_number": "844-379-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Allison Ave",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400041760",
            "country_code": "US",
            "telephone_number": "502-827-4699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRAM",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "7483",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark of River City Rehabilitation and Nursing Center
• Landmark Recovery of Kentucky LLC
• Landmark Recovery of Kentucky LLC
• Landmark Recovery of Kentucky LLC
• Landmark Recovery Outpatient Services LLC
• Connie Englert Lane, PT, CHT
• Halston Alexis Lane, M.S., CCC-SLP
• Hunter Robert Lane, MSOTR
• Kim Lane
• Markus Laney, MD

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.