Melissa Rose Patrick, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802087717 Issued in MI

Practice address

411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404

Phone

(231) 620-2750

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Melissa R Popa Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Patrick Counseling Services LLC

  • Social Worker
  • East Lansing, MI
  • NPI 1881258028
  Medicare reassignment

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1720417660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE A100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238404",
            "telephone_number": "231-620-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 W Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231397",
            "country_code": "US",
            "telephone_number": "231-620-2750",
            "fax_number": "517-721-1906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48912",
            "country_code": "US",
            "telephone_number": "231-620-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "POPA",
            "middle_name": "R",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Marciniak, LMSW Acsw LLC
• Patrick Counseling Services LLC
• Patrick Psychotherapy LLC
• Kali Patrick, R.PH
• Megan Patrick, D.C.
• Telicia Patrick
• Pats Psychological Services LLC
• Mark Anthony Pattee, COTA/L
• Meghan Kristi Patterson, LMT
• Shannon Pavlak

• Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.