Active NPI
Melissa J Beadle
- Clinical Social Worker
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34009511A
- Practice address
- 619 Washington Ave
Terre Haute, IN 47802-1128 - Phone
- (812) 917-5006
- NPI assigned
- Jul 25, 2019
- Last updated
- Mar 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34009511A | IN | Primary |
Addresses
Primary practice location
619 Washington Ave
Terre Haute, IN 47802-1128
Mailing address
2704 Washington Ave Ste B
Vincennes, IN 47591-3667
Phone (812) 891-4053
Other practice location 1
2704 Washington Ave Ste B
Vincennes, IN 47591-3667
Phone (812) 891-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34009511A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Next Step Foundation Inc | Social Worker | Past | Accepting new patients |
| SKM Therapy LLC | Clinical | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646
Organizations & group practices 3
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.
-
dba Next Step Community
- Addiction (Substance Use Disorder) Counselor
- Terre Haute, IN
- NPI 1326519794
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1689228942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 WASHINGTON AVE STE B",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475913667",
"telephone_number": "812-891-4053",
"fax_number": "812-790-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 WASHINGTON AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478021128",
"telephone_number": "812-917-5006"
}
],
"practiceLocations": [
{
"address_1": "2704 Washington Ave Ste B",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "475913667",
"country_code": "US",
"telephone_number": "812-891-4053",
"fax_number": "812-790-2307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEADLE",
"first_name": "MELISSA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34009511A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.