Angela Marie Mello, MSW, LICSW, SUDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60260475 Issued in WA

Practice address

104 S Freya St Ste 210
Spokane, WA 99202-4871

Phone

(509) 964-1590

NPI assigned

Jan 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beyond Behavioral Health LLCGroup PAC ID 3274951579, 5 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1033728415

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Amore Health & Wellness LLP

  • Clinical Social Worker
  • Spokane, WA
  • NPI 1770319972
  NPD
• Kalispel Indian Community of the Kalispel Reservation Washington

  • Land Ambulance
  • Usk, WA
  • NPI 1053800417
  NPD (past)
• Kalispel Tribe-Camas Institute

  dba Kalispel Indian Comm of Kalispel Res Wa

  • Community/Behavioral Health Agency
  • Airway Heights, WA
  • NPI 1518019272
  NPD (past)

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1609171446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST BLDG SUITE210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024862",
            "telephone_number": "509-869-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024871",
            "telephone_number": "509-964-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLO",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00006373",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60260475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranav Mellacheruvu
• Catherine Diane Melland, RN
• James Dale Mellema, MD
• Rita H Mellema, M.D.
• Aimee Lee Mellick
• Karen Mellor, LMP
• Ryan A Melo
• Sarah Melone
• Melrose Psychological Services
• Greg Carl Melrose, MSW

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.