Individual provider Active NPI

Melanie M Williams, LCSW

  • Clinical Social Worker
  • Bristol, VA
National Provider Identifier
1548380751
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008594 Issued in VA
Practice address
125 Timber Oak Dr
Bristol, VA 24201-3065
Phone
(276) 696-1899
NPI assigned
Mar 30, 2007
Last updated
Jun 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0000987 DE
Clinical Social Worker 1041C0700X 5494 TN
Clinical Social Worker 1041C0700X 0904008594 VA Primary

Addresses

Primary practice location

125 Timber Oak Dr
Bristol, VA 24201-3065

Mailing address

125 Timber Oak Dr
Bristol, VA 24201-3065
Phone (276) 696-1899

Other practice location 1

156 S State St
Dover, DE 19901-7314
Phone (302) 674-2380 ext. 39

Other identifiers 1

IdentifierTypeStateIssuer
12001318OtherDECAQH

Other names 1

  • Melanie McCarraher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200806001445 VA Practitioner - Clinical Social Worker 0244365237
I20210407003137 TN Practitioner - Clinical Social Worker 0244365237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5494TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Savida Health, PC CurrentSince Jun 5, 2025 Accepting new patients
Savida Health,PC CurrentSince Jun 5, 2025 Accepting new patients
People's Place II, Inc. PastSince Jun 7, 1999 Accepting new patients

Locations

2725 W State St
Bristol, TN 37620
Phone (423) 764-5411

2911 Essary Dr
Ste 200
Knoxville, TN 37918
Phone (865) 371-8101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24804/brand/1/csg/21/fhir/r4
  • Direct secure messaging: melaniewilliams@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1548380751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TIMBER OAK DR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013065",
            "telephone_number": "276-696-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TIMBER OAK DR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013065",
            "telephone_number": "276-696-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 S State St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199017314",
            "country_code": "US",
            "telephone_number": "302-674-2380 x39",
            "fax_number": "302-674-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MELANIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000987",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12001318",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "MCCARRAHER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.