Individual provider Active NPI

Melinda C Breeding-Lynch, LMSW-C

  • Clinical Social Worker
  • Monroe, MI
National Provider Identifier
1700186780
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097268 Issued in MI
Practice address
532 Rambow Dr
Monroe, MI 48161-3549
Phone
(734) 559-3540
Fax
(734) 667-3925
NPI assigned
Oct 25, 2010
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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 6801097268 MI Primary

Addresses

Primary practice location

532 Rambow Dr
Monroe, MI 48161-3549

Mailing address

1529 Woodside St
Monroe, MI 48161-1754
Phone (734) 775-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210727000830 MI Practitioner - Clinical Social Worker 9638572761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Toledo College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transformational Services LLCGroup PAC ID 8820219322, 34 clinicians

Practice addresses (Care Compare)

532 Rambow Dr
Monroe, MI 48161-3549
Phone (734) 559-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801097268MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Services LLC Clinical CurrentSince Jul 1, 2021 Accepting new patients

Locations

2006 Hogback Rd
Ste 8
Ann Arbor, MI 48105
Phone (734) 559-3549

3200 W Liberty Rd
Ste C2
Ann Arbor, MI 48103
Phone (734) 395-4341

140 W Middle St
Ste C
Chelsea, MI 48118
Phone (734) 562-2381

2000 E Oakley Park Rd
Ste 201
Commerce Township, MI 48390
Phone (248) 939-4907

532 Rambow Dr
Monroe, MI 48161
Phone (734) 335-0302

9409 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 231-3933

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1700186780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 WOODSIDE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611754",
            "telephone_number": "734-775-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 RAMBOW DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481613549",
            "telephone_number": "734-559-3540",
            "fax_number": "734-667-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING-LYNCH",
        "first_name": "MELINDA",
        "middle_name": "C",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.