Individual provider Active NPI

Melanie Rae Dangerfield, LCSW

  • Social Worker
  • Tyler, TX
National Provider Identifier
1851078976
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
60632 Issued in TX
Practice address
428 Centennial Pkwy
Tyler, TX 75703-7166
Phone
(903) 266-5900
NPI assigned
Jun 30, 2023
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 60632 TX Primary

Addresses

Primary practice location

428 Centennial Pkwy
Tyler, TX 75703-7166

Mailing address

428 Centennial Pkwy
Tyler, TX 75703-7166

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

LicenseStateTypeSpecialty
60632TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Vamc CurrentSince Jul 2, 2023 Accepting new patients

Locations

428 Centennial Pkwy
Tyler, TX 75703
Phone (903) 266-5900

Organizations & group practices 1

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1851078976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CENTENNIAL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CENTENNIAL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037166",
            "telephone_number": "903-266-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGERFIELD",
        "first_name": "MELANIE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "60632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.