Melissa Hetchler
Individual provider Active NPI Social Worker · Sturgeon Bay, WI
NPI 1942907951 · NPPES record last updated Feb 9, 2023
Key facts
- NPI
- 1942907951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 131974-121 (WI)
- Practice address
- 421 Nebraska St
Sturgeon Bay, WI 54235-2225 - Phone
- (920) 746-7155
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Door County Memorial Hospital
Practice addresses (Care Compare)
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20240426001647 | WI | Practitioner - Clinical Social Worker | 8527408327 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131974-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Door-Door County Library | Current |
Accepting new patients | |
| County of Door-Door County Library | Current |
Accepting new patients | |
| Door County Memorial Hospital | Current |
Accepting new patients | |
| Door County Memorial Hospital | Current |
Accepting new patients |
Locations
421 Nebraska St
Fl 2
Sturgeon Bay, WI 54235
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
421 Nebraska St
Sturgeon Bay, WI 54235
Phone (920) 746-2345
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 131974-121 | WI | Yes |
Addresses
Primary practice location
421 Nebraska St
Sturgeon Bay, WI 54235-2225
Mailing address
E886 County Road K
Luxemburg, WI 54217-8446
Phone (262) 623-8077
Other providers in Sturgeon Bay, WI
- Cheryl Heikkila
- James Freeman Heise
- Carmen Henkenius Schroeder
- William E Herbst
- John Herlache
- Hietpas Chiropractic LLC
- Pamela J. Hirn
- Bradley John Hobart
- Paula L. Hobart
- Laurie T Hoffman
All providers in Sturgeon Bay, WI · Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. 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.