Melody M Mortenson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2551-C Issued in AR

Practice address

4241 N Gabel Dr Ste 2B
Fayetteville, AR 72703-5296

Phone

(479) 879-2115

Fax

(479) 249-6989

NPI assigned

Aug 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melodymortenson@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1467732172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727020555",
            "telephone_number": "479-879-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 N GABEL DR STE 2B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035296",
            "telephone_number": "479-879-2115",
            "fax_number": "479-249-6989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Aldersgate Rd",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056614",
            "country_code": "US",
            "telephone_number": "501-661-0720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTENSON",
        "first_name": "MELODY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2551-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha A. Morrison, M.D.
• William Marcus Morrison
• Diane H. Morrow, APRN
• Nathaniel Thomas Morsches
• Michael W Morse, MD
• Amy Lee Morton, APN
• Arianna Morton, DO
• Mark Allen Moseley Jr., M.D.
• Amber Lee Moser, LPTA
• Elizabeth Moser

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

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