Individual provider Active NPI

Melanie Rosenblum, LCSW

  • Social Worker
  • Lee'S Summit, MO
National Provider Identifier
1891145926
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2020014445 Issued in MO
Practice address
1579 NE Rice Rd
Lee'S Summit, MO 64086-6408
Phone
(816) 966-0900
Fax
(816) 347-3200
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2020014445 MO Primary

Addresses

Primary practice location

1579 NE Rice Rd
Lee'S Summit, MO 64086-6408

Mailing address

1555 NE Rice Rd
Lees Summit, MO 64086-5849
Phone (816) 347-3069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20221013000724 MO Practitioner - Clinical Social Worker 2163898396 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020014445MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Sep 6, 2022 Accepting new patients
Rediscover CurrentSince Sep 6, 2022 Accepting new patients
Cornerstones of Care Social Worker PastSince Feb 9, 2025 Accepting new patients

Locations

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

1579 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3052

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

Organizations & group practices 3

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1891145926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865849",
            "telephone_number": "816-347-3069",
            "fax_number": "816-347-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 NE RICE RD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640866408",
            "telephone_number": "816-966-0900",
            "fax_number": "816-347-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "MELANIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2020014445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee'S Summit, MO

Sources for this page

Verify at the official NPI Registry.