Individual provider Active NPI

Arthemease Bloxson Melancon, LCSW

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1861639890
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
41988 Issued in TX
Practice address
19318 Diamond Park Cir
Spring, TX 77373-8413
Phone
(504) 390-0250
Fax
(832) 447-8658
NPI assigned
Jan 13, 2009
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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 41988 TX Primary

Addresses

Primary practice location

19318 Diamond Park Cir
Spring, TX 77373-8413

Mailing address

19318 Diamond Park Cir
Spring, TX 77373-8413
Phone (504) 390-0250

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
41988TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Psychological Services, PC PastSince Sep 21, 2013 Accepting new patients

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": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1861639890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19318 DIAMOND PARK CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738413",
            "telephone_number": "504-390-0250",
            "fax_number": "832-447-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19318 DIAMOND PARK CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738413",
            "telephone_number": "504-390-0250",
            "fax_number": "832-447-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "ARTHEMEASE",
        "middle_name": "BLOXSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "41988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.