Individual provider Active NPI

Kimberly Melf, LCSW

  • Clinical Social Worker
  • Crown Point, IN
National Provider Identifier
1629735840
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010430A Issued in IN
Practice address
8753 Mathews LN
Crown Point, IN 46307-1659
Phone
(312) 675-9755
NPI assigned
Nov 22, 2021
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149023420 IL
Clinical Social Worker 1041C0700X 34010430A IN Primary

Addresses

Primary practice location

8753 Mathews LN
Crown Point, IN 46307-1659

Mailing address

8753 Mathews LN
Crown Point, IN 46307-1659
Phone (312) 675-9755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20250623002349 IN Practitioner - Clinical Social Worker 0547772907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149023420ILMDClinical Social Worker
34010430AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Northwest Indiana LLC CurrentSince Apr 10, 2025 Accepting new patients
Unity Hospice of Northwest Indiana LLC PastSince Jul 16, 2023 Accepting new patients

Locations

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

3313 E 83rd Pl
Merrillville, IN 46410
Phone (219) 269-7824

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

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1629735840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8753 MATHEWS LN",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071659",
            "telephone_number": "312-675-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8753 MATHEWS LN",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071659",
            "telephone_number": "312-675-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELF",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149023420",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010430A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.