Melanie J Shmois, MSSA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I9665 Issued in OH

Practice address

223 Miller Rd
Avon Lake, OH 44012-1004

Phone

(440) 930-2002

NPI assigned

Sep 20, 2006

Last updated

Jun 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1851499073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "216-225-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MILLER RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121004",
            "telephone_number": "440-930-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMOIS",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "MSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I9665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self
• Jimmy Bill Servetas, D.O.
• Karan Sandip Shah, PT, DPT
• Aarika Sheehan, PT, DPT
• Jaclyn Shlapack, LPCC
• Michael Shockey
• Marie A. Simon, DDS
• Rayeka Sitabkhan, MD
• Bethany Sue Small
• Erin Smith, PTA

• Clinical Social Worker in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.