Individual provider Active NPI

Melanie L Libebe, LCSW-C

  • Clinical Social Worker
  • Odenton, MD
National Provider Identifier
1871830638
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17795 Issued in MD
Practice address
8288 Telegraph Rd
Suite a
Odenton, MD 21113-1130
Phone
(301) 875-4387
NPI assigned
Jan 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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 17795 MD Primary

Addresses

Primary practice location

8288 Telegraph Rd
Suite a
Odenton, MD 21113-1130

Mailing address

7615 Woodbine Dr
Laurel, MD 20707-5392
Phone (301) 875-4387

Other identifiers 1

IdentifierTypeStateIssuer
0615790 00MedicaidMD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17795MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1871830638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 WOODBINE DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075392",
            "telephone_number": "301-875-4387",
            "fax_number": "240-547-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8288 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131130",
            "telephone_number": "301-875-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBEBE",
        "first_name": "MELANIE",
        "middle_name": "L",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615790 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.