Individual provider Active NPI

Orlando Yamir Melendez Miranda, LCSW

  • Clinical Social Worker
  • Manassas, VA
National Provider Identifier
1851700835
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015884 Issued in VA
Practice address
9194 Wyche Knoll LN
Manassas, VA 20110-1765
Phone
(787) 293-7999
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11388 PR
Clinical Social Worker 1041C0700X 0904015884 VA Primary

Addresses

Primary practice location

9194 Wyche Knoll LN
Manassas, VA 20110-1765

Mailing address

9194 Wyche Knoll LN
Manassas, VA 20110-1765
Phone (703) 659-4524

Other names 1

  • Orlando Yamir Melendez Miranda Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260609002091 VA Practitioner - Clinical Social Worker 2860963972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

83 Crossroads Lane
Fishersville, VA 22939
Phone (888) 705-8722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11388PRMDClinical Social Worker
0904015884VAMDClinical Social Worker

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1851700835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9194 WYCHE KNOLL LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201101765",
            "telephone_number": "703-659-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 WYCHE KNOLL LN",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201101765",
            "telephone_number": "787-293-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ MIRANDA",
        "first_name": "ORLANDO",
        "middle_name": "YAMIR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "11388",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORLANDO",
            "last_name": "MELENDEZ MIRANDA",
            "middle_name": "YAMIR",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.