Individual provider Active NPI

Melanie Nannette McLeain, LMSW

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1841607157
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9479-M Issued in AR
Practice address
10 Corporate Hill Dr Ste 330
Little Rock, AR 72205-4528
Phone
(501) 954-7470
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 9479-M AR Primary

Addresses

Primary practice location

10 Corporate Hill Dr Ste 330
Little Rock, AR 72205-4528

Mailing address

24 Windsor Dr
Maumelle, AR 72113-6890
Phone (501) 541-2513

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CareLogic Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220406002638 AR Practitioner - Clinical Social Worker 2567858103 Reassigns benefits to 1 organization
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9479-MARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Home Inc CurrentSince Feb 23, 2022 Accepting new patients
Vital Conexiones PLLC Clinical CurrentSince Sep 1, 2024 Accepting new patients

Locations

10 Corporate Hill Dr
Ste 330
Little Rock, AR 72205
Phone (501) 954-7470

20400 Colonel Glenn Rd
Little Rock, AR 72210
Phone (501) 650-2723

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/youthhome/r4/

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1841607157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WINDSOR DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136890",
            "telephone_number": "501-541-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORPORATE HILL DR STE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054528",
            "telephone_number": "501-954-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAIN",
        "first_name": "MELANIE",
        "middle_name": "NANNETTE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "9479-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CareLogic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10 Corporate Hill Dr Ste 330",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722054528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.