Active NPI
Melanie Jane Warm, LICSW
- Social Worker
- Waconia, MN
National Provider Identifier
1891796918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 298 LICSW
- Practice address
- 540 E 1St St
Waconia, MN 55387-1601 - Phone
- (952) 442-4437
- Fax
- (952) 442-3084
- NPI assigned
- Aug 10, 2005
- Last updated
- Feb 24, 2014
- 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 | 298 LICSW | MN | Primary |
Addresses
Primary practice location
540 E 1St St
Waconia, MN 55387-1601
Mailing address
540 E 1St St
Waconia, MN 55387-1601
Phone (952) 442-4437
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6235635 | Other | MN | UBH MEDICA |
| 1017129 | Other | MN | PREFERRED ONE |
| 172640 | Other | MN | U-CARE |
| 489285200 | Medicaid | MN | |
| 8H718WA | Other | MN | BLUE CROSS BLUE SHIELD |
| HP19045 | Other | MN | HEALTH PARTNERS |
Other names 1
- Melanie Jane Warm-Ostroot
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|
| 298 LICSW | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carver County | Current | Accepting new patients |
Locations
540 E 1st St
Waconia, MN 55387
Phone (952) 442-4437
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carver County Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waconia, MN
- NPI 1326049685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1891796918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E 1ST ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871601",
"telephone_number": "952-442-4437",
"fax_number": "952-442-3084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 E 1ST ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871601",
"telephone_number": "952-442-4437",
"fax_number": "952-442-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARM",
"first_name": "MELANIE",
"middle_name": "JANE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "298 LICSW",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH MEDICA",
"identifier": "6235635",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1017129",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE",
"identifier": "172640",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "489285200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8H718WA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP19045",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "WARM-OSTROOT",
"middle_name": "JANE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.