Active NPI
Melanie A Anderson, LMSW
- Clinical Social Worker
- Lithonia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MSW004928
- Practice address
- 2170 Strang Blvd
Lithonia, GA 30058-6519 - Phone
- (678) 793-3059
- NPI assigned
- Apr 8, 2010
- Last updated
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MSW004928 | GA | Primary |
Addresses
Primary practice location
2170 Strang Blvd
Lithonia, GA 30058-6519
Mailing address
2170 Strang Blvd
Lithonia, GA 30058-6519
Phone (678) 793-3059
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Crescent Ctr Pkwy
Tucker, GA 30084-7047
Phone (404) 365-0966
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW004928 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Current | Accepting new patients | |
| View Point Health | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
3424 Peachtree Rd NE
Ste 2200
Atlanta, GA 30326
Phone (404) 436-2563
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
175 Gwinnett Dr
Lawrenceville, GA 30046
Phone (678) 209-2394
200 Crescent Center Pkwy
Tucker, GA 30084
Phone (770) 496-3414
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawrenceville, GA
- NPI 1609853860
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1598081184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 STRANG BLVD",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586519",
"telephone_number": "678-793-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 STRANG BLVD",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300586519",
"telephone_number": "678-793-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "MELANIE",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "MSW004928",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "200 Crescent Center Pkwy",
"city": "Tucker",
"state": "GA",
"country_code": "US",
"postal_code": "300847047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.