Melanie C Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW107320 Issued in CA

Practice address

12966 Euclid St Ste 110
Garden Grove, CA 92840-9203

Phone

(720) 204-5760

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA, MI3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blue Moon Senior Counseling of California LLCGroup PAC ID 9335360981, 79 clinicians

BMSC TX LLCGroup PAC ID 1052680949, 21 clinicians

BMSC Mi LLCGroup PAC ID 3779892492, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990

  CA

  Medicare reassignment Care Compare group NPD
• BMSC Mi LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1639577927
  Medicare reassignment Care Compare group NPD
• BMSC TX LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1215485198

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1740996693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STOUT ST STE 2000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802023113",
            "telephone_number": "720-204-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409203",
            "telephone_number": "720-204-5760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1751 River Run Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761076670",
            "country_code": "US",
            "telephone_number": "833-595-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1751 River Run Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761076670",
            "country_code": "US",
            "telephone_number": "833-595-3559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MELANIE",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "110029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW107320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naveen Dhar, M.D., Inc
• Karen Neal, M.A., BCBA
• Genevieve Rose Neely, DPT
• Negin Behazin MD, a Med Corp
• Harold Nelson, P.T.
• Robert L Nelson, M.D.
• Russell L. Ness, MD
• Neurological Medical Group of Orange County Inc
• Samantha Berlen Nevarez
• New Bridge Inc. (acupuncture of america)

• Clinical Social Worker in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.
• 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.