Individual provider Active NPI

Melissa Dione Frodge, LCSW

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1881672277
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-12123 Issued in AZ
Practice address
5380 E Kachina St
BLDG. 4220
Tucson, AZ 85707-4923
Phone
(520) 228-2104
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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 LMSW-11669 AZ
Clinical Social Worker 1041C0700X LCSW-12123 AZ Primary

Addresses

Primary practice location

5380 E Kachina St
BLDG. 4220
Tucson, AZ 85707-4923

Mailing address

4860 S Champlain PL
Tucson, AZ 85730-4644
Phone (520) 429-6587

Other names 1

  • Miss Melissa Dione Barbalaco Former name

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
LCSW-12123AZMDClinical Social Worker
LMSW-11669AZMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1881672277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 S CHAMPLAIN PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857304644",
            "telephone_number": "520-429-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 E KACHINA ST",
            "address_2": "BLDG. 4220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857074923",
            "telephone_number": "520-228-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRODGE",
        "first_name": "MELISSA",
        "middle_name": "DIONE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-11669",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BARBALACO",
            "middle_name": "DIONE",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.