Active NPI
Melanie Green, LMSW, LCSW, PSSWC
- School Social Worker
- Mio, MI
National Provider Identifier
1760858047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6801089617
- Practice address
- 1110 W 8TH St
Mio, MI 48647-9143 - Phone
- (989) 826-2400
- NPI assigned
- Aug 20, 2015
- Last updated
- Sep 24, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 6801089617 | MI | Primary |
Addresses
Primary practice location
1110 W 8TH St
Mio, MI 48647-9143
Mailing address
1110 W 8TH St
Mio, MI 48647-9143
Phone (989) 826-2400
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801089617 | MI | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thunder Bay Community Health Service, Inc | Past | Accepting new patients | |
| Ausable Valley CMH | Past | 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.
-
- Clinic/Center
- Tawas City, MI
- NPI 1952628893
-
- Federally Qualified Health Center (FQHC)
- Mio, MI
- NPI 1750751392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1760858047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 W 8TH ST",
"city": "MIO",
"state": "MI",
"postal_code": "486479143",
"telephone_number": "989-826-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W 8TH ST",
"city": "MIO",
"state": "MI",
"postal_code": "486479143",
"telephone_number": "989-826-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MELANIE",
"credential": "LMSW, LCSW, PSSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6801089617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mio, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.