Active NPI
Melanie Luken-Teng, LISW-S
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1831473644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1450730-SUPV
- Practice address
- 399 E Main St
Columbus, OH 43215-5384 - Phone
- (614) 355-8550
- Fax
- (614) 355-8593
- NPI assigned
- Sep 29, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1200741 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | S1001110-TRNE | OH | |
| Clinical Social Worker | 1041C0700X | I.1450730-SUPV | OH | Primary |
Addresses
Primary practice location
399 E Main St
Columbus, OH 43215-5384
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08258 | Medicaid | OH |
Other names 1
- Melanie Luken
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 |
|---|---|---|---|
| S1200741 | OH | MD | Social Worker |
| I.1450730-SUPV | OH | MD | Clinical Social Worker |
| S1001110-TRNE | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1831473644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155384",
"telephone_number": "614-355-8550",
"fax_number": "614-355-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKEN-TENG",
"first_name": "MELANIE",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1200741",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "S1001110-TRNE",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1450730-SUPV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08258",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "LUKEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.