Individual provider Active NPI

Melissa Faith Gallion, LSW

  • Clinical Social Worker
  • Wooster, OH
National Provider Identifier
1770770299
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S19557 Issued in OH
Practice address
2803 Akron Rd
Wooster, OH 44691-7904
Phone
(330) 264-3232
Fax
(330) 202-3989
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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 S19557 OH Primary

Addresses

Primary practice location

2803 Akron Rd
Wooster, OH 44691-7904

Mailing address

2803 Akron Rd
Wooster, OH 44691-7904
Phone (330) 264-3232

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S19557OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1770770299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917904",
            "telephone_number": "330-264-3232",
            "fax_number": "330-202-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917904",
            "telephone_number": "330-264-3232",
            "fax_number": "330-202-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLION",
        "first_name": "MELISSA",
        "middle_name": "FAITH",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S19557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.