Active NPI
Celia Marie Melecio, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1740829696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 61644
- Practice address
- 9500 Tioga Dr Ste a
San Antonio, TX 78230-3118 - Phone
- (210) 616-0828
- Fax
- (855) 616-0829
- NPI assigned
- Dec 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 61644 | TX | |
| Clinical Social Worker | 1041C0700X | 61644 | TX | Primary |
Addresses
Primary practice location
9500 Tioga Dr Ste a
San Antonio, TX 78230-3118
Mailing address
9500 Tioga Dr Ste a
San Antonio, TX 78230-3118
Phone (210) 616-0828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61644 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nuevavidabha.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- celia.melecio.1@14883.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1740829696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 TIOGA DR STE A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782303118",
"telephone_number": "210-616-0828",
"fax_number": "855-616-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 TIOGA DR STE A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782303118",
"telephone_number": "210-616-0828",
"fax_number": "855-616-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELECIO",
"first_name": "CELIA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-24",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "61644",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "61644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61644",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "credentialing@nuevavidabha.com",
"affiliation": "N",
"endpointDescription": "office e-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9500 Tioga Dr Ste A",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782303118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.