Individual provider Active NPI

Melissa Slegona, LICSW

  • Clinical Social Worker
  • Plainville, MA
National Provider Identifier
1467779686
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117538 Issued in MA
Practice address
111 Washington St
Ste 203
Plainville, MA 02762-2155
Phone
(508) 817-2524
Fax
(508) 815-1605
NPI assigned
Apr 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW01680 RI
Clinical Social Worker 1041C0700X 117538 MA Primary

Addresses

Primary practice location

111 Washington St
Ste 203
Plainville, MA 02762-2155

Mailing address

111 Washington Street Box 14
Suite 203
Plainville, MA 02762
Phone (508) 817-2524

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01680RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1467779686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON STREET BOX 14",
            "address_2": "SUITE 203",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "02762",
            "telephone_number": "508-817-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WASHINGTON ST",
            "address_2": "STE 203",
            "city": "PLAINVILLE",
            "state": "MA",
            "postal_code": "027622155",
            "telephone_number": "508-817-2524",
            "fax_number": "508-815-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEGONA",
        "first_name": "MELISSA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.