Individual provider Active NPI

Melissa Ann Ray, LCSW

  • Clinical Social Worker
  • Zelienople, PA
National Provider Identifier
1801439781
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021317 Issued in PA
Practice address
30 Glade Run Dr
Zelienople, PA 16063-2200
Phone
(724) 452-4453
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW134914 PA
Clinical Social Worker 1041C0700X CW021317 PA Primary

Addresses

Primary practice location

30 Glade Run Dr
Zelienople, PA 16063-2200

Mailing address

5118 McCandless Rd
Butler, PA 16001-9646
Phone (724) 712-6261

Other practice location 1

321 Route 66
Leechburg, PA 15656-8279
Phone (724) 845-6755 ext. 4712

Other practice location 2

100 Northpointe Cir Ste 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

Other practice location 3

5118 McCandless Rd
Butler, PA 16001-9646
Phone (724) 712-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240731003376 PA Practitioner - Clinical Social Worker 4082151675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW134914PAMDSocial Worker
CW021317PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Psychological Center, Inc. Clinical PastSince Apr 12, 1991 Accepting new patients
Glade Run Lutheran Services PastSince Sep 6, 2020 Accepting new patients

Organizations & group practices 3

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1801439781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 MCCANDLESS RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160019646",
            "telephone_number": "724-712-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLADE RUN DR",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160632200",
            "telephone_number": "724-452-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Route 66",
            "address_purpose": "LOCATION",
            "city": "Leechburg",
            "state": "PA",
            "postal_code": "156568279",
            "country_code": "US",
            "telephone_number": "724-845-6755 x4712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Northpointe Cir Ste 306",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467851",
            "country_code": "US",
            "telephone_number": "724-772-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5118 McCandless Rd",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160019646",
            "country_code": "US",
            "telephone_number": "724-712-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW134914",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zelienople, PA

Sources for this page

Verify at the official NPI Registry.