Brian Ronald Melanson, MED, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW127225 Issued in MA

Practice address

159B Montague Rd
Leverett, MA 01054-9762

Phone

(978) 618-0434

NPI assigned

Jul 15, 2022

Sex

Male

Sole proprietor

Yes

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

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1710611652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159B MONTAGUE RD",
            "city": "LEVERETT",
            "state": "MA",
            "postal_code": "010549762",
            "telephone_number": "978-618-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159B MONTAGUE RD",
            "city": "LEVERETT",
            "state": "MA",
            "postal_code": "010549762",
            "telephone_number": "978-618-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANSON",
        "first_name": "BRIAN",
        "middle_name": "RONALD",
        "credential": "MED, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW127225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Raymond Jones, ED.D
• Joyce Anne Joseph, LICSW, LCSW
• Nancy Kent
• Laurie Lee Lassiter, MSW, LICSW
• Kathleen Markland, LCSW, ED.M.
• Daniel G Mendelsohn, LICSW
• Melissa Miller, PH.D.
• Alan R Mully, DMD
• Janine Roberts, ED.D.
• Kimberly Ann Schildbach, M.ED.

• Clinical Social Worker in Leverett, MA
• Providers in Leverett, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.