Melissa Ann Landry, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801098486 Issued in MI

Practice address

497 Waukonda Ave
Benton Harbor, MI 49022-3142

Phone

(269) 876-5201

NPI assigned

Jan 28, 2016

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

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.

• Intercare Community Health Network

  • Federally Qualified Health Center (FQHC)
  • Bangor, MI
  • NPI 1326058512
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1699132167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 WAUKONDA",
            "address_2": "KPEP",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223142",
            "telephone_number": "269-876-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 WAUKONDA AVE",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490223142",
            "telephone_number": "269-876-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Medical Pracrices (Corewell Health Medical Group South)
• Lakeland Medical Practices (Corewell Health Medical Group South)
• Lakeland Medical Practices (Mercy Speciality)
• Tiffany Lambright
• Taylor Rachele Lancaster
• Denise Lane
• Sheree Lane
• Adrian L Langdon, LLMSW
• Jennifer G Larason-Zuiderveen, RDH
• Julia Larkin

• Clinical Social Worker in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.