Individual provider Active NPI

Melissa Lynne McIntosh, LCSW

  • Clinical Social Worker
  • Somerset, KY
National Provider Identifier
1821543786
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
116 N Main St Ste D
Somerset, KY 42501-1448
Phone
(606) 392-3958
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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 Primary

Addresses

Primary practice location

116 N Main St Ste D
Somerset, KY 42501-1448

Mailing address

319 Johnny Dr
Science Hill, KY 42553-9146
Phone (606) 392-3958

Other identifiers 1

IdentifierTypeStateIssuer
7100762910MedicaidKY

Other names 1

  • Melissa Lynne Baker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210921003113 KY Practitioner - Clinical Social Worker 8325445125 Reassigns benefits to 2 organizations
Practice locations: Somerset, KY
I20260123002432 KY Practitioner - Clinical Social Worker 8325445125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPL Therapeutic Services PLLCGroup PAC ID 8527323989, 30 clinicians

Practice addresses (Care Compare)

116 N Main St
Suite D
Somerset, KY 42501-1448

200 Norfleet Dr
Somerset, KY 42501-1952
Phone (606) 678-5104

319 Johnny Dr
Science Hill, KY 42553-9146

8617 Hickory Falls LN
Pewee Valley, KY 40056-9180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kentucky Therapy LLC Clinical CurrentSince Jan 12, 2026 Accepting new patients
Unbridled Healthcare System LLC CurrentSince Dec 1, 2024 Accepting new patients
Unbridled Healthcare System LLC CurrentSince Dec 1, 2024 Accepting new patients
Southern Kentucky Therapeutic Interventions and Behavior Health Servic Clinical CurrentSince Feb 4, 2022 Accepting new patients
PPL Therapeutic Services PLLC Clinical CurrentSince Sep 13, 2021 Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Aug 26, 2002 Accepting new patients

Locations

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

222 N Main St
London, KY 40741
Phone (606) 389-5250

421 Ogden St
Somerset, KY 42501
Phone (606) 392-3958

200 Norfleet Dr
Somerset, KY 42501
Phone (606) 678-5104

116 N Main St
Ste D
Somerset, KY 42501
Phone (606) 392-3958

Organizations & group practices 6

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1821543786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 JOHNNY DR",
            "city": "SCIENCE HILL",
            "state": "KY",
            "postal_code": "425539146",
            "telephone_number": "606-392-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N MAIN ST STE D",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425011448",
            "telephone_number": "606-392-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MELISSA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100762910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BAKER",
            "middle_name": "LYNNE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.