Active NPI
Melissa McNelly, LPC,PA
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1952497992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15243
- Practice address
- 720 W 34TH St Ste 100
Austin, TX 78705-1205 - Phone
- (512) 454-7741
- Fax
- (512) 451-7245
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15243 | TX | Primary |
Addresses
Primary practice location
720 W 34TH St Ste 100
Austin, TX 78705-1205
Mailing address
720 W 34TH St Ste 100
Austin, TX 78705-1205
Phone (512) 454-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5333LC | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15243 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952497992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W 34TH ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051205",
"telephone_number": "512-454-7741",
"fax_number": "512-451-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W 34TH ST STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051205",
"telephone_number": "512-454-7741",
"fax_number": "512-451-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNELLY",
"first_name": "MELISSA",
"credential": "LPC,PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "15243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5333LC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.