Individual provider Active NPI

Melody Hulitt-Pillow, LMSW

  • Clinical Social Worker
  • Coloma, MI
National Provider Identifier
1467832956
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007478A Issued in IN
Practice address
230 David St
Coloma, MI 49038-9726
Phone
(269) 462-1785
NPI assigned
Jun 1, 2015
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 6801093897 MI
Clinical Social Worker 1041C0700X 34007478A IN Primary

Addresses

Primary practice location

230 David St
Coloma, MI 49038-9726

Mailing address

230 David St
Coloma, MI 49038-9726
Phone (269) 462-1785

Other practice location 1

1818 Went Ave Ste A
Mishawaka, IN 46545-6482
Phone (574) 254-0229

Other names 1

  • Melody Dawn Hungerford Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007478AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haelan Counseling Center CurrentSince Mar 20, 2022 Accepting new patients

Locations

109 N 3rd St
Niles, MI 49120
Phone (269) 683-6000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1467832956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DAVID ST",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389726",
            "telephone_number": "269-462-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DAVID ST",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490389726",
            "telephone_number": "269-462-1785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Went Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465456482",
            "country_code": "US",
            "telephone_number": "574-254-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULITT-PILLOW",
        "first_name": "MELODY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093897",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007478A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "HUNGERFORD",
            "middle_name": "DAWN",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coloma, MI

Sources for this page

Verify at the official NPI Registry.