Individual provider Active NPI

Melissa Rose Verner

  • Clinical Social Worker
  • Longmeadow, MA
National Provider Identifier
1699014969
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
135 Nevins Ave
Longmeadow, MA 01106-3122
Phone
(413) 776-9625
Fax
(413) 754-3277
NPI assigned
Feb 6, 2013
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 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 NU Primary

Addresses

Primary practice location

135 Nevins Ave
Longmeadow, MA 01106-3122

Mailing address

135 Nevins Ave
Longmeadow, MA 01106-3122
Phone (413) 776-9625

Other practice location 1

56 Margaret St
Springfield, MA 01105-2309
Phone (413) 776-9625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20170201000162 MA Practitioner - Clinical Social Worker 5092097873 Practice locations: Longmeadow, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

135 Nevins Ave
Longmeadow, MA 01106-3122
Phone (413) 776-9625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1699014969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NEVINS AVE",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011063122",
            "telephone_number": "413-776-9625",
            "fax_number": "413-754-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NEVINS AVE",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011063122",
            "telephone_number": "413-776-9625",
            "fax_number": "413-754-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Margaret St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011052309",
            "country_code": "US",
            "telephone_number": "413-776-9625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERNER",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.