Individual provider Active NPI

Melinda Watson

  • Clinical Social Worker
  • Saint Joseph, MI
National Provider Identifier
1477485860
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096891 Issued in MI
Practice address
1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709
Phone
(269) 235-9083
NPI assigned
Jun 1, 2026
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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 6801096891 MI Primary

Addresses

Primary practice location

1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709

Mailing address

1603 Ferry St
Niles, MI 49120-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260605001500 MI Practitioner - Clinical Social Worker 3971074485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1030 Miners Rd
Suite C
Saint Joseph, MI 49085-9709

1603 Ferry St
Niles, MI 49120-2052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801096891MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Therapy Centers Inc Multi-Specialty CurrentSince Jun 2, 2026 Accepting new patients

Locations

18853 US Highway 12
Ste 3
New Buffalo, MI 49117
Phone (269) 235-9821

1030 Miners Rd
Ste C
Saint Joseph, MI 49085
Phone (269) 235-9083

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": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1477485860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 FERRY ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD STE C",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-235-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801096891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.