Melissa Jane Shoupe, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092847 Issued in NY

Practice address

1545 Inwood Ave
Bronx, NY 10452-2001

Phone

(216) 215-6465

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1538816145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 WATSON AVE FL 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104725424",
            "telephone_number": "216-215-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522001",
            "telephone_number": "216-215-6465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104551314",
            "country_code": "US",
            "telephone_number": "216-215-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUPE",
        "first_name": "MELISSA",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadirah Kameelah Shorter, M.S. SLP-TSSLD
• Shoshana Bulow, PHD
• Cory Shoshany, MD
• Sadiq Temitope Shotomiwa, BSN
• Keenan W Shoulders, LMSW
• Olsjon Shperdheja
• Larisa Shpitalnik, MD
• Debora Davidovna Shpolyansky, MD
• Shree Ganesh Pharmacy (Span Am Pharmacy)
• Shree Medhava Drug Inc (Well-Care Pharmacy)

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.