Individual provider Active NPI

Melanie Wade, MSW, LICSW

  • Social Worker
  • Wheeling, WV
National Provider Identifier
1619450368
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1600269 Issued in OH
Practice address
201 Edgington LN
Wheeling, WV 26003-1513
Phone
(304) 242-0217
Fax
(304) 242-0218
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1600269 OH Primary
Clinical Social Worker 1041C0700X DP00944763 WV

Addresses

Primary practice location

201 Edgington LN
Wheeling, WV 26003-1513

Mailing address

501 Colliers Way
Weirton, WV 26062-5003
Phone (304) 723-5440

Other practice location 1

67925 Bayberry Dr
Saint Clairsville, OH 43950-9132
Phone (740) 526-0204

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1600269OHMDSocial Worker
DP00944763WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1619450368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 COLLIERS WAY",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625003",
            "telephone_number": "304-723-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EDGINGTON LN",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031513",
            "telephone_number": "304-242-0217",
            "fax_number": "304-242-0218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67925 Bayberry Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Clairsville",
            "state": "OH",
            "postal_code": "439509132",
            "country_code": "US",
            "telephone_number": "740-526-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADE",
        "first_name": "MELANIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600269",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.