Melanie Gail Hathaway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008016 Issued in CT

Practice address

100 Linwood Ave FL 1
Colchester, CT 06415-1138

Phone

(860) 531-9559

Fax

(860) 781-6224

NPI assigned

Aug 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, SC2 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

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hathaway LCSW LLC

  • Clinical Social Worker
  • Colchester, CT
  • NPI 1780037911

  SC

  Medicare reassignment NPD Authorized official
• Ruth Etchells Siborg LPC LLC

  • Professional Counselor
  • Colchester, CT
  • NPI 1629536768
  NPD
• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1467482539
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1609123934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINWOOD AVE",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151138",
            "telephone_number": "860-531-9559",
            "fax_number": "860-781-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINWOOD AVE FL 1",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151138",
            "telephone_number": "860-531-9559",
            "fax_number": "860-781-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "MELANIE",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Grimes, PT
• Robert Guarino, PHARMD, RPH
• Tamie Lee Hamilton, MSW
• Tara Nicole Hast, LMFT
• Hathaway LCSW LLC
• Christian Haupt, LPC
• Jeanette Hawk, MSPT
• Kasey Lauren Hayes
• Healing River Therapy, LLC
• Health Resources of Colchester, Inc (Harrington Court)

• Clinical Social Worker in Colchester, CT
• Providers in Colchester, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.

Verify at the official NPI Registry.