Individual provider Active NPI

Melanie Bryan, LISW

  • Clinical Social Worker
  • Hamilton, OH
National Provider Identifier
1477042927
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405100 Issued in OH
Practice address
2250 Pleasant Ave
Hamilton, OH 45015-1135
Phone
(513) 868-1562
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 I.2405100 OH Primary

Addresses

Primary practice location

2250 Pleasant Ave
Hamilton, OH 45015-1135

Mailing address

641 Quail Hollow Dr
Trenton, OH 45067-9007
Phone (513) 674-8776

Other identifiers 1

IdentifierTypeStateIssuer
0362171MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611001156 OH Practitioner - Clinical Social Worker 2769924315 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WS Wellness LLC CurrentSince Aug 25, 2025 Accepting new patients
Central Clinic Inc Mental Health Access Point Clinical Current Accepting new patients
Central Clinic Outpatient Services Addiction (Substance Use Disorder) CurrentSince Apr 16, 2024 Accepting new patients
Central Clinic Outpatient Services Addiction (Substance Use Disorder) CurrentSince Apr 16, 2024 Accepting new patients
Woodstream Wellness Clinical CurrentSince Aug 25, 2025 Accepting new patients

Locations

1911 Old Fairfield Rd
Ste 310
Beavercreek, OH 45432
Phone (937) 759-0545

311 Albert Sabin Way
Cincinnati, OH 45229
Phone (513) 558-5823

2250 Pleasant Ave
Hamilton, OH 45015
Phone (513) 558-9006

9049 Springboro Pike
Miamisburg, OH 45342
Phone (937) 759-0545

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1477042927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 QUAIL HOLLOW DR",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450679007",
            "telephone_number": "513-674-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PLEASANT AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151135",
            "telephone_number": "513-868-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MELANIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.