Melissa Ann Acker, LCSW

Individual provider Active NPI Clinical Social Worker · Shelbyville, KY

NPI 1508175290 · NPPES record last updated Feb 11, 2017

Key facts

NPI
1508175290
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
4068 (KY)
Practice address
998 Brooks Industrial Rd
Shelbyville, KY 40065-8154
Phone
(859) 629-1339
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLC (595 clinicians)

Practice addresses (Care Compare)

1030 Monarch St
Suite 100
Lexington, KY 40513-1820
Phone (844) 468-5050

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190327000051 KY Practitioner - Clinical Social Worker 5890035901 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
4068KYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Clinical Current
since Dec 1, 2019
Accepting new patients
Brighter Hope, LLC Past Accepting new patients

Locations

1030 Monarch St
Ste 100
Lexington, KY 40513
Phone (844) 468-5050

100 Executive Park
Ste 103
Louisville, KY 40207
Phone (502) 313-6880

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4068 KY Yes

Addresses

Primary practice location

998 Brooks Industrial Rd
Shelbyville, KY 40065-8154

Mailing address

998 Brooks Industrial Rd
Suite a
Shelbyville, KY 40065-8154
Phone (859) 633-1315

Other identifiers

IdentifierTypeStateIssuer
7100424390MedicaidKY

Other providers in Shelbyville, KY

All providers in Shelbyville, KY · Clinical Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.