Individual provider Active NPI

Melissa South, L.C.S.W.

  • Clinical Social Worker
  • Saluda, VA
National Provider Identifier
1821499609
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008712 Issued in VA
Practice address
129 Bowden St
Saluda, VA 23149
Phone
(804) 758-4035
Fax
(804) 695-8122
NPI assigned
Sep 11, 2014
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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 0904008712 VA Primary

Addresses

Primary practice location

129 Bowden St
Saluda, VA 23149

Mailing address

PO Box 40
Saluda, VA 23149-0040
Phone (804) 758-4035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150318001507 VA Practitioner - Clinical Social Worker 2163749839 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, shared by 19 NPIs, 94 clinicians

Practice addresses (Care Compare)

11814 King William Rd
Aylett, VA 23009-4103
Phone (804) 769-3022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Middle Peninsula Northern Neck Mental Health & Retardation CurrentSince Dec 30, 2014 Accepting new patients
Central Virginia Health Services Inc CurrentSince Mar 1, 2025 Accepting new patients
Central Virginia Health Services Inc CurrentSince Mar 16, 2020 Accepting new patients
Central Virginia Health Services Inc CurrentSince Mar 16, 2020 Accepting new patients
Middle Peninsula-Northern Neck Mental Health and Mental Retardation CurrentSince Dec 30, 2014 Accepting new patients
Middle Peninsula Northern Neck Community Services Board Past Accepting new patients

Locations

11814 King William Rd
Aylett, VA 23009
Phone (804) 769-3002

1101 E Jefferson St
Charlottesvle, VA 22902
Phone (434) 227-5624

1041 Sharon Rd
Ste 201
King William, VA 23086
Phone (804) 769-2751

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1821499609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231490040",
            "telephone_number": "804-758-4035",
            "fax_number": "804-695-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 BOWDEN ST",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "23149",
            "telephone_number": "804-758-4035",
            "fax_number": "804-695-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "MELISSA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saluda, VA

Sources for this page

Verify at the official NPI Registry.