Melanie H. Milde, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

213420 Issued in MA

Practice address

148 Linden St Ste 108
Wellesley, MA 02482-7916

Phone

(178) 189-4432

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Key Program, Incorporated.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1306446059

  Clinical

  NPD (past)
• The Key Program, Incorporated.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1508908229
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1790801199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDENT STREET",
            "address_2": "SUITE 108",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "02482",
            "telephone_number": "617-291-1461",
            "fax_number": "781-235-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINDEN ST STE 108",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827916",
            "telephone_number": "178-189-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILDE",
        "first_name": "MELANIE",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biana Korjevsky Mico, FNP-BC
• Wendy Midgley, MED,RD,LDN
• Paula Mignone, LICSW
• Edwin Mikkelsen, M.D.
• Ellen Mikulski, RDH
• Bethanne Miles, BCBA
• Gabrielle Judith Miller, MS-CCC SLP
• Jourdan Miller
• Leah Bellman Miller, PMHNP-BC
• Leslie Miller, DDS

• Clinical Social Worker in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.