Individual provider Active NPI

Melissa Bretz, MSW

  • Clinical Social Worker
  • Lutz, FL
National Provider Identifier
1558618496
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW6812 Issued in FL
Practice address
23526 State Road 54
Lutz, FL 33559-6753
Phone
(813) 586-0956
NPI assigned
Aug 9, 2012
Last updated
Oct 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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 ISW6812 FL Primary

Addresses

Primary practice location

23526 State Road 54
Lutz, FL 33559-6753

Mailing address

23526 State Road 54
Lutz, FL 33559-6753
Phone (813) 586-0956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240415000714 FL Practitioner - Clinical Social Worker 9830537984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17894 N US Hwy 41
Lutz, FL 33549-4502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW6812FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutz Counseling Services LLC Clinical CurrentSince Feb 5, 2024 Accepting new patients

Locations

17894 N US Highway 41
Lutz, FL 33549
Phone (813) 586-0956

23526 State Road 54
Lutz, FL 33559
Phone (813) 586-0956

Organizations & group practices 1

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1558618496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23526 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596753",
            "telephone_number": "813-586-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23526 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596753",
            "telephone_number": "813-586-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW6812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.