Individual provider Active NPI

Melody Brewer, MSW

  • Clinical Social Worker
  • Red Bluff, CA
National Provider Identifier
1730238684
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 17220 Issued in CA
Practice address
590 Antelope Blvd
Building B, Suite 20
Red Bluff, CA 96080-2474
Phone
(530) 248-3000
Fax
(530) 248-3098
NPI assigned
Jan 9, 2007
Last updated
Jan 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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 ASW 17220 CA Primary

Addresses

Primary practice location

590 Antelope Blvd
Building B, Suite 20
Red Bluff, CA 96080-2474

Mailing address

1880 Shasta St
Redding, CA 96001-0417
Phone (530) 248-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 17220CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions to Hope Past Accepting new patients
His Ideas, Inc PastSince Oct 29, 2023 Accepting new patients

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1730238684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 SHASTA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010417",
            "telephone_number": "530-248-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ANTELOPE BLVD",
            "address_2": "BUILDING B, SUITE 20",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802474",
            "telephone_number": "530-248-3000",
            "fax_number": "530-248-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "MELODY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 17220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.