Individual provider Active NPI

Melanie Stauss, MSW

  • Clinical Social Worker
  • Albion, IN
National Provider Identifier
1841548153
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
101 E Park Dr
Albion, IN 46701-1438
Phone
(260) 636-6884
Fax
(260) 636-3392
NPI assigned
Aug 16, 2012
Last updated
Nov 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

101 E Park Dr
Albion, IN 46701-1438

Mailing address

2621E Jefferson St
Warsaw, IN 46580-3880
Phone (574) 269-0573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20151113001433 IN Practitioner - Clinical Social Worker 0749590164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bowen Health Inc CurrentSince Nov 6, 2015 Accepting new patients
Bowen Health Inc CurrentSince Nov 6, 2015 Accepting new patients

Locations

101 E Park Dr
Albion, IN 46701
Phone (260) 636-6884

923 Cardinal Ct
Auburn, IN 46706
Phone (260) 925-8035

2100 Goshen Rd
Fort Wayne, IN 46808
Phone (260) 471-3500

2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573

850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169

Organizations & group practices 2

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1841548153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621E JEFFERSON ST",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803880",
            "telephone_number": "574-269-0573",
            "fax_number": "574-269-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E PARK DR",
            "city": "ALBION",
            "state": "IN",
            "postal_code": "467011438",
            "telephone_number": "260-636-6884",
            "fax_number": "260-636-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUSS",
        "first_name": "MELANIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albion, IN

Sources for this page

Verify at the official NPI Registry.