Melissa Audier, MSW, LICSW
Individual provider Active NPI Social Worker · North Reading, MA
NPI 1891853875 · NPPES record last updated Jun 14, 2021
Key facts
- NPI
- 1891853875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 1031251 (MA)
- Practice address
- 352 Park St
Ste 208
North Reading, MA 01864-2158 - Phone
- (978) 604-5802
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
352 Park St
Suite 208
North Reading, MA 01864-2158
Phone (978) 604-5802
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050917000197 | MA | Practitioner - Clinical Social Worker | 7719910991 | Practice locations: North Reading, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1031251 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Friend and Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1031251 | MA | Yes |
Addresses
Primary practice location
352 Park St
Ste 208
North Reading, MA 01864-2158
Mailing address
275 Haverhill St
North Reading, MA 01864-1452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P08568 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in North Reading, MA
- Angel Ray PC
- Appleton Eye Associates P.C.
- Melinda Ryan Armacost
- Alexander J Asch
- Laurel T Ashcraft
- Jason Aylsworth
- Aynora LLC
- Kimberly Gail Baker
- Pooja H Baua
- Baystate Pediatric Neuropsychology Services, LLC
All providers in North Reading, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.