Melissa Menard, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

214093 Issued in MA

Practice address

825 Broadway
Raynham, MA 02767-1734

Phone

(508) 819-0441

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holistic Counseling Center

  • Mental Health Counselor
  • Raynham, MA
  • NPI 1417200403
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1679651541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DAISY LN",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027037349",
            "telephone_number": "508-954-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671734",
            "telephone_number": "508-819-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214093",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah McKenna, M.S.P.T.
• Kelly Meagher
• Michael David Medeiros, D.C.
• Aditya Mehra
• David Melancon, PHARMD
• Wanda L Meyer, R.N.
• Terri Denise Miller, PMHNP-BC
• Shawn P Mills, M.D.
• Candace Mitchell
• Luis Moncada, DMD

• Clinical Social Worker in Raynham, MA
• Providers in Raynham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.