Active NPI
Melanie Rosenblum, LCSW
- Social Worker
- Lee'S Summit, MO
National Provider Identifier
1891145926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2020014445
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020014445 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediscover | Current | Accepting new patients | |
| Rediscover | Current | Accepting new patients | |
| Cornerstones of Care | Social Worker | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lees Summit, MO
- NPI 1841235298
-
- Methadone Clinic
- Kansas City, MO
- NPI 1659749414
-
- Mental Illness Community Based Residential Treatment Facility
- Kansas City, MO
- NPI 1720447212
Social Worker
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.