Individual provider Active NPI

Melissa McDonald-Wertz, MSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1861723249
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
525 Issued in WY
Practice address
2000 Westland Rd
Cheyenne, WY 82001-3309
Phone
(307) 287-7892
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 525 WY Primary

Addresses

Primary practice location

2000 Westland Rd
Cheyenne, WY 82001-3309

Mailing address

1508 Monroe CT
Cheyenne, WY 82001-6465
Phone (307) 287-7892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240815003964 CO Practitioner - Clinical Social Worker 1658819024 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

Practice addresses (Care Compare)

8490 E Crescent Pkwy
Suite 200
Greenwood Village, CO 80111-2802
Phone (720) 316-6434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
525WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group of Colorado, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Mindful Therapy Group of Colorado, PC Clinical CurrentSince Aug 1, 2024 Accepting new patients

Locations

8490 E Crescent Pkwy
Ste 200
Greenwood Village, CO 80111
Phone (720) 316-6434

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1861723249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MONROE CT",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820016465",
            "telephone_number": "307-287-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WESTLAND RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820013309",
            "telephone_number": "307-287-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD-WERTZ",
        "first_name": "MELISSA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.