Individual provider Active NPI

Melanie Chismody

  • Clinical Social Worker
  • Waterford, MI
National Provider Identifier
1649627019
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070476 Issued in MI
Practice address
3314 Healy St
Waterford, MI 48328-4751
Phone
(248) 310-9792
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 6801070476 MI Primary

Addresses

Primary practice location

3314 Healy St
Waterford, MI 48328-4751

Mailing address

3314 Healy St
Waterford, MI 48328-4751
Phone (248) 310-9792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160531000962 MI Practitioner - Clinical Social Worker 8426348608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakview Adult Day Assistant Living LLCGroup PAC ID 4789171497, 2 clinicians

Practice addresses (Care Compare)

18960 Greenfield Rd
Detroit, MI 48235-2907
Phone (313) 629-3924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801070476MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakview Adult Day Assistant Living LLC CurrentSince Sep 4, 2025 Accepting new patients

Locations

18960 Greenfield Rd
Detroit, MI 48235
Phone (313) 629-3924

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1649627019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 HEALY ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284751",
            "telephone_number": "248-310-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 HEALY ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483284751",
            "telephone_number": "248-310-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISMODY",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.