Individual provider Active NPI

Melissa Michelle Reid, LMSW, ACSW

  • Clinical Social Worker
  • Whitehall, MI
National Provider Identifier
1598854887
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801081342 Issued in MI
Practice address
116 W Colby St
Ste E
Whitehall, MI 49461-1084
Phone
(231) 343-0095
Fax
(231) 725-7241
NPI assigned
Oct 12, 2006
Last updated
Oct 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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 6801081342 MI Primary

Addresses

Primary practice location

116 W Colby St
Ste E
Whitehall, MI 49461-1084

Mailing address

5124 W McMillan Rd
Muskegon, MI 49445-9638
Phone (231) 343-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060411000680 MI Practitioner - Clinical Social Worker 2567471071 Practice locations: Muskegon, MI; Whitehall, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1576 Peck St
Muskegon, MI 49441-2547
Phone (231) 343-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia a Wood Employee Assistance Services LLC Past Accepting new patients

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1598854887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 W MCMILLAN RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494459638",
            "telephone_number": "231-343-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST",
            "address_2": "STE E",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-343-0095",
            "fax_number": "231-725-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MELISSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801081342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

Verify at the official NPI Registry.