Individual provider Active NPI

Melinda Hawley, LCSW

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1649410945
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW3911 Issued in GA
Practice address
1 Huntington Rd 204
Athens, GA 30606-7206
Phone
(706) 340-1336
NPI assigned
Feb 26, 2009
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW3911 GA Primary

Addresses

Primary practice location

1 Huntington Rd 204
Athens, GA 30606-7206

Mailing address

PO Box 6996
Athens, GA 30604-6996
Phone (706) 340-1336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20090901000232 GA Practitioner - Clinical Social Worker 8820143670 Reassigns benefits to 1 organization
Practice locations: Athens, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Huntington Rd
Suite 101
Athens, GA 30606-7205
Phone (706) 340-1336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW3911GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awareness to Wellness Counseling, LLC Clinical CurrentSince Dec 1, 2016 Accepting new patients
Athens Regional Specialty Services Past Accepting new patients
Regional Lab Outreach Past Accepting new patients
Athens Regional Physician Services, Inc. Past Accepting new patients

Locations

1 Huntington Rd
Ste 101
Athens, GA 30606
Phone (706) 549-5248

1 Huntington Rd
Ste 204
Athens, GA 30606
Phone (706) 543-4948

Organizations & group practices 4

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1649410945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6996",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306046996",
            "telephone_number": "706-340-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD 204",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067206",
            "telephone_number": "706-340-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "MELINDA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.