Individual provider Active NPI

Melissa J. White, MSSA, LISW-S

  • Clinical Social Worker
  • Hermitage, PA
National Provider Identifier
1508174087
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 0028289-SUPV Issued in OH
Practice address
295 N Kerrwood Dr
Suite 110
Hermitage, PA 16148-5207
Phone
(724) 346-1569
NPI assigned
Sep 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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. 0028289-SUPV OH Primary

Addresses

Primary practice location

295 N Kerrwood Dr
Suite 110
Hermitage, PA 16148-5207

Mailing address

295 N Kerrwood Dr
Suite 110
Hermitage, PA 16148-5207
Phone (724) 346-1569

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: No
  • 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
I. 0028289-SUPVOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1508174087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 N KERRWOOD DR",
            "address_2": "SUITE 110",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485207",
            "telephone_number": "724-346-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 N KERRWOOD DR",
            "address_2": "SUITE 110",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485207",
            "telephone_number": "724-346-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MELISSA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MSSA, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0028289-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.