Melinda Pace Clark, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1628C Issued in AL

Practice address

70 Freedom LN
Scottsboro, AL 35769-3763

Phone

(256) 574-5508

Fax

(256) 259-2727

NPI assigned

Jan 15, 2008

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

Other identifiers 1

Other names 1

• Melinda Lee Pace Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Alabama Health Services, Inc.Group PAC ID 4082522883, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melinda.clark@neahsi.directbygreenway.com

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.

• Northeast Alabama Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Scottsboro, AL
  • NPI 1659448983
  Medicare reassignment Care Compare group NPD
• Marshall-Jackson Mental Health BD., Inc.

  dba Mt. Lakes Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Guntersville, AL
  • NPI 1568495588
  Medicare reassignment NPD
• Northeast Alabama Health Services, Inc.

  dba Northeast Alabama Health Services Inc - North Sand Mountain

  • Federally Qualified Health Center (FQHC)
  • Bryant, AL
  • NPI 1356498505
  NPD

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1679759146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FREEDOM LN",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693763",
            "telephone_number": "256-574-5508",
            "fax_number": "256-259-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MELINDA",
        "middle_name": "PACE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1628C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1628C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51545900",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "PACE",
            "middle_name": "LEE",
            "credential": "L.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles B. Lovelady, M.D., L.L.C.
• Charles R Bradford MD PC
• Madison Ashleigh Childress
• Chelsea Victoria Clark, MD
• Dakota Ellis Clark, FNP
• Christopher Brian Clayton, M.D.
• Whitney Claridy Clayton, CRNP
• Brandy S Clemons, PT
• Cloverdale Health Care, Inc. (Cloverdale Rehabilitation and Nursing Center)
• Cloverdale SNF Opco LLC (Cloverdale Rehabilitation and Wellness)

• Clinical Social Worker in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.