Melissa Jill Brock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW3939 Issued in TN

Practice address

926 W Oakland Ave
Suite 226
Johnson City, TN 37604-1445

Phone

(423) 929-0300

Fax

(423) 926-8840

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Jill Pickens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1508950858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE",
            "address_2": "SUITE 226",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041445",
            "telephone_number": "423-929-0300",
            "fax_number": "423-928-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 W OAKLAND AVE",
            "address_2": "SUITE 226",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041445",
            "telephone_number": "423-929-0300",
            "fax_number": "423-926-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MELISSA",
        "middle_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW3939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PICKENS",
            "middle_name": "JILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Britt, D.C.
• Madison Britt
• Candice Leaann Britton, MMS, PA-C
• Vicki Marie Britton, B.S
• Holly Renee Broadwater, FNP
• Morgan Grace Brock
• Justin Dakota Brogdon, DPT
• Cicely Amber Brooks, BA
• Courtney Brooks
• Misy A Brooks, LPN

• Clinical Social Worker in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.