Melody Brave, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2015028638 Issued in MO

Practice address

4140 S Fairview Ave Ste 104
Springfield, MO 65807-4857

Phone

(417) 234-9857

NPI assigned

Dec 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melody Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1457716409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14136",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658140136",
            "telephone_number": "510-633-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 S FAIRVIEW AVE STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074857",
            "telephone_number": "417-234-9857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4947 W Tilden St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658026772",
            "country_code": "US",
            "telephone_number": "314-518-2529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVE",
        "first_name": "MELODY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015028638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "LEE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Brashear, RD/LD
• Megan Danielle Brattin, APRN
• Edward L. Braud, M.D.
• Steven D Braun, MD
• Bravantech Innovations LLC
• Daniel Allen Bravin, MD
• Lindsey Nicole Bravin, M.D.
• Marlana Marie Bray
• Tyler Bray
• Maria J Brazil, MD

• Clinical Social Worker in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.