Individual provider Active NPI

Melissa Andria Melson, LSWAIC, MHP, SUDP

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1801273909
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61533072 Issued in WV
Practice address
4005 N Cook St
Spokane, WA 99207-5879
Phone
(509) 530-4230
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60067930 WA
Clinical Social Worker 1041C0700X LW61533072 WV Primary

Addresses

Primary practice location

4005 N Cook St
Spokane, WA 99207-5879

Mailing address

4005 N Cook St
Spokane, WA 99207-5879
Phone (509) 530-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240619001970 WA Practitioner - Clinical Social Worker 2668915513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60067930WAMDAddiction (Substance Use Disorder) Counselor
LW61533072WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 4, 2024 Accepting new patients
Multicare Health System Clinical CurrentSince Jun 4, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System PastSince Jun 9, 2024 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4005 N Cook St
Spokane, WA 99207
Phone (509) 530-4222

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1801273909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 N COOK ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075879",
            "telephone_number": "509-530-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 N COOK ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992075879",
            "telephone_number": "509-530-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSON",
        "first_name": "MELISSA",
        "middle_name": "ANDRIA",
        "credential": "LSWAIC, MHP, SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60067930",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "LW61533072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.