Melissa Pantel-Ku Lisw-S LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MELISSA PANTEL-KU LISW-S LLC

Practice address

19910 Malvern Rd Ste 201
Shaker Heights, OH 44122-2823

Phone

(440) 227-1955

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Pantel-Ku, LISW-SNPI 1134686702

Title

Owner/Member

Phone

(440) 227-1955

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Pantel-Ku, LISW-S

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1134686702
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1902512809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17666 STOCKTON LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235741",
            "telephone_number": "440-227-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19910 MALVERN RD STE 201",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222823",
            "telephone_number": "440-227-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PANTEL-KU LISW-S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "PANTEL-KU",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "440-227-1955",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella McNamara, LPC
• Mdconsult, LLC
• Alison Marie Meehan
• Janet Meinhard
• Candice Marie Meintel
• Stephanie H Mendelson, LISW-S
• Tillie R Merriweather, QMHS
• MFF Somerset, L.L.C
• Monica Michael
• Iris Micochero

• Adult Mental Health Clinic/Center in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.