Individual provider Active NPI

Melody Munro-Wolfe, LMSW

  • Clinical Social Worker
  • Lapeer, MI
National Provider Identifier
1922105030
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801018541 Issued in MI
Practice address
624 W Nepessing St Ste 203
Lapeer, MI 48446-2088
Phone
(810) 302-0762
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801018541 MI Primary

Addresses

Primary practice location

624 W Nepessing St Ste 203
Lapeer, MI 48446-2088

Mailing address

624 W Nepessing St Ste 203
Lapeer, MI 48446-2088
Phone (810) 302-0762

Other identifiers 5

IdentifierTypeStateIssuer
750910711OtherMIBCBSM
1007731OtherMIMCLAREN HEALTH ADVANTAGE
1007731OtherMIMCLAREN HEALTH PLAN
01002077OtherMIHEALTH PLUS OF MICHIGAN
211705242MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060117000308 MI Practitioner - Clinical Social Worker 2860416971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

624 W Nepessing St
Suite 203
Lapeer, MI 48446-2088
Phone (810) 302-0762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MM Wolfe Psychotherapy, PLLC Clinical CurrentSince Jul 31, 2019 Accepting new patients

Locations

624 W Nepessing St
Ste 203
Lapeer, MI 48446
Phone (810) 302-0762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1922105030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST STE 203",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462088",
            "telephone_number": "810-302-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W NEPESSING ST STE 203",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462088",
            "telephone_number": "810-302-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNRO-WOLFE",
        "first_name": "MELODY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "750910711",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1007731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1007731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS OF MICHIGAN",
            "identifier": "01002077",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211705242",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.