Active NPI
Melissa Sue Roessing, LMSW
- Clinical Social Worker
- Holland, MI
National Provider Identifier
1609955855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801086731
- Practice address
- 270 Hoover Blvd
Holland, MI 49423-3719 - Phone
- (616) 396-2972
- Fax
- (616) 396-2808
- NPI assigned
- Nov 6, 2006
- 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 | 6801086731 | MI | Primary |
Addresses
Primary practice location
270 Hoover Blvd
Holland, MI 49423-3719
Mailing address
48 E 18TH St
Holland, MI 49423-4219
Phone (616) 393-6856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801086731 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Holland, Inc. | Past | Accepting new patients | |
| Hospice of Holland, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Holland, MI
- NPI 1194792259
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Holland, MI
- NPI 1003243908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609955855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 E 18TH ST",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234219",
"telephone_number": "616-393-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 HOOVER BLVD",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494233719",
"telephone_number": "616-396-2972",
"fax_number": "616-396-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESSING",
"first_name": "MELISSA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801086731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.