Active NPI
Melissa Kelly Benson, LCSW, LCAS
- Clinical Social Worker
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C00046
- Practice address
- 1337 E Garrison Blvd
Gastonia, NC 28054-5127 - Phone
- (704) 865-3848
- Fax
- (704) 854-3086
- NPI assigned
- Jul 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1025 | NC | |
| Clinical Social Worker | 1041C0700X | C00046 | NC | Primary |
Addresses
Primary practice location
1337 E Garrison Blvd
Gastonia, NC 28054-5127
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (048) 342-4507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002717 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-5333
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C00046 | NC | MD | Clinical Social Worker |
| 1025 | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients |
Locations
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
dba CaroMont Psychiatric Associates
- Psychiatry Physician
- Gastonia, NC
- NPI 1629197744
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Wilson, NC
- NPI 1619317823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1609074111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744786",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744786",
"telephone_number": "048-342-4507",
"fax_number": "704-671-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 E GARRISON BLVD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280545127",
"telephone_number": "704-865-3848",
"fax_number": "704-854-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "MELISSA",
"middle_name": "KELLY",
"name_prefix": "Ms.",
"credential": "LCSW, LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1025",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C00046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002717",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.