Individual provider Active NPI

Melissa Harrell Standish, M.S.W.

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1871608968
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16467 Issued in TX
Practice address
3400 Bissonnet St Ste 282
Houston, TX 77005-2100
Phone
(713) 622-5625
Fax
(281) 547-8865
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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 16467 TX Primary

Addresses

Primary practice location

3400 Bissonnet St Ste 282
Houston, TX 77005-2100

Mailing address

15 Greenway PLZ Unit 3G
Houston, TX 77046-1502
Phone (713) 622-5625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120119000849 TX Practitioner - Clinical Social Worker 5496922130 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 Bissonnet St
Suite 282
Houston, TX 77005-2100
Phone (713) 622-5625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16467TXMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judi Turner LPC, LMFT Past Accepting new patients
Raquepaw Enterprises, Inc. PastSince Mar 15, 2011 Accepting new patients

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1871608968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREENWAY PLZ UNIT 3G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770461502",
            "telephone_number": "713-622-5625",
            "fax_number": "281-547-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET ST STE 282",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052100",
            "telephone_number": "713-622-5625",
            "fax_number": "281-547-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDISH",
        "first_name": "MELISSA",
        "middle_name": "HARRELL",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "16467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.