Melissa E Charles, APSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

135538-121 Issued in WI

Practice address

3120 Memorial Dr
Two Rivers, WI 54241-3229

Phone

(920) 657-1780

NPI assigned

Jun 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Behavioral Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Two Rivers, WI
  • NPI 1871514778
  NPD

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1689569147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 N 6TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202842",
            "telephone_number": "920-585-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413229",
            "telephone_number": "920-657-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "135538-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bump and Beyond Family Wellness LLC
• Kaitlin Jeanne Buvala, PHARMD
• Devin Calaway, CRNA
• Jennifer Renee Cappelle, M.D.
• Kaycee Carobine
• Natalie Christensen, SLP
• John Christianson, NP
• City of Two Rivers
• Christine Ruth Clark, COTA
• Comprehensive Cardiovascular Care, LLP

• Clinical Social Worker in Two Rivers, WI
• Providers in Two Rivers, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.