Melody Wollgren, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1149 Issued in CO

Practice address

95 Allens Creek Rd
BLDG 2, Ste 325
Rochester, NY 14618

Phone

(585) 999-5145

NPI assigned

Jun 29, 2011

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

Opted out of Medicare

Yes, effective Jan 8, 2025 through Jan 8, 2027

Medicare enrollment (NPD)

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.

• Open Mind Counseling LLC

  • Mental Health Counselor
  • Rochester, NY
  • NPI 1184371825
  NPD Authorized official

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1699062604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HARWOOD CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251610",
            "telephone_number": "607-742-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD",
            "address_2": "BLDG 2, STE 325",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-999-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLGREN",
        "first_name": "MELODY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Wolfson, LMHC
• Debra J Wolfsong, LCSW-R
• Kathleen Anne Wolfsong, L.C.S.W.-R
• Taylor F Wolin, DPT
• Gary Scott Wolk, LCSW-R, CASAC, CGP
• Kimora Womack, LPN
• Tahira Womack
• Kayla Elizabeth Womeldorff, RD
• Women Gynecology & Childbirth Associates, P.C.
• Brian Won, MD

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.