Individual provider Active NPI

Arden E Melzer, DSW, LCSW, BCD

  • Clinical Social Worker
  • Waynesburg, PA
National Provider Identifier
1467580480
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW002352L Issued in PA
Practice address
59 S Washington St
Suite 2
Waynesburg, PA 15370-2035
Phone
(724) 627-7771
Fax
(724) 499-5306
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 CW002352L PA Primary

Addresses

Primary practice location

59 S Washington St
Suite 2
Waynesburg, PA 15370-2035

Mailing address

PO Box 120
Graysville, PA 15337-0120
Phone (724) 627-7771

Other identifiers 3

IdentifierTypeStateIssuer
XXXXX 1962OtherPAUNITED BEHAVIORAL HEALTH
001704613OtherPAHIGHMARK
410738OtherPAUPMC COMMUNITY CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW002352LPAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1467580480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "GRAYSVILLE",
            "state": "PA",
            "postal_code": "153370120",
            "telephone_number": "724-627-7771",
            "fax_number": "724-499-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 S WASHINGTON ST",
            "address_2": "SUITE 2",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153702035",
            "telephone_number": "724-627-7771",
            "fax_number": "724-499-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELZER",
        "first_name": "ARDEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW002352L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "XXXXX 1962",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001704613",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC COMMUNITY CARE",
            "identifier": "410738",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.