Active NPI
Melissa Dennison, LSCSW
- Clinical Social Worker
- Fort Riley, KS
National Provider Identifier
1811935539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 650 Huebner Rd
Fort Riley, KS 66442 - Phone
- (785) 240-5248
- NPI assigned
- Jun 3, 2006
- Last updated
- Jul 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6202 | KS | |
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
650 Huebner Rd
Fort Riley, KS 66442
Mailing address
650 Huebner Rd
Fort Riley, KS 66442-4030
Phone (785) 240-5248
Other practice location 1
814 Caroline Ave
Junction City, KS 66441-5210
Phone (785) 762-5250
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840312 | Other | KS | BCBS NUMBER |
| 200440730A | Medicaid | KS | |
| 11759286 | Other | CAQH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6202 | KS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1811935539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664424030",
"telephone_number": "785-240-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HUEBNER RD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-240-5248"
}
],
"practiceLocations": [
{
"address_1": "814 Caroline Ave",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664415210",
"country_code": "US",
"telephone_number": "785-762-5250",
"fax_number": "785-762-2144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENNISON",
"first_name": "MELISSA",
"credential": "LSCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KS",
"license": "6202",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "840312",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200440730A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11759286",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.