Active NPI
Melanie Wade, MSW, LICSW
- Social Worker
- Wheeling, WV
National Provider Identifier
1619450368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1600269
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600269 | OH | MD | Social Worker |
| DP00944763 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Voluntary or Charitable Agency
- Wooster, OH
- NPI 1124057914
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.