Individual provider Active NPI

Melissa Ann Smeltzer-Wolfe, LCSW

  • Clinical Social Worker
  • Du Bois, PA
National Provider Identifier
1679780233
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW019468 Issued in PA
Practice address
100 Caldwell Dr
Du Bois, PA 15801-1152
Phone
(814) 371-1100
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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 CW019468 PA Primary

Addresses

Primary practice location

100 Caldwell Dr
Du Bois, PA 15801-1152

Mailing address

100 Caldwell Dr
Du Bois, PA 15801-1152
Phone (814) 371-1100

Other names 1

  • Melissa A. Smeltzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170629002074 PA Practitioner - Clinical Social Worker 0840569158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Guidance CenterGroup PAC ID 7517850720, 15 clinicians

Practice addresses (Care Compare)

490 Jeffers St
Du Bois, PA 15801-2438
Phone (814) 371-1100

793 Old Route 119 Hwy N
Indiana, PA 15701-1372
Phone (724) 465-5576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW019468PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Guidance Center CurrentSince May 24, 2017 Accepting new patients

Locations

100 Caldwell Dr
Dubois, PA 15801

490 Jeffers St
Dubois, PA 15801
Phone (814) 371-3671

793 Old Route 119 Hwy N
Indiana, PA 15701
Phone (724) 349-7060

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1679780233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALDWELL DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011152",
            "telephone_number": "814-371-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALDWELL DR",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011152",
            "telephone_number": "814-371-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMELTZER-WOLFE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SMELTZER",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.