Individual provider Active NPI

Tanya Lynn Meline, L.C.S.W.

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1952731481
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006700 Issued in VA
Practice address
20 Pendleton Rd
Fredericksburg, VA 22405-3041
Phone
(540) 373-7366
Fax
(540) 371-3788
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X PPS-0603736 VA
Clinical Social Worker 1041C0700X 0904006700 VA Primary

Addresses

Primary practice location

20 Pendleton Rd
Fredericksburg, VA 22405-3041

Mailing address

31 Stafford Ave
Stafford, VA 22554-7246
Phone (540) 658-6520

Other practice location 1

15 Hope Rd
Stafford, VA 22554-7202
Phone (540) 659-2725

Other practice location 2

31 Stafford Ave
Stafford, VA 22554-7246
Phone (540) 658-6520

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melinetl@staffordschools.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PPS-0603736VAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stafford County Public Schools CurrentSince Sep 13, 2020 Accepting new patients
Stafford County Public Schools PastSince Dec 15, 2019 Accepting new patients
Rappahannock Area Community Services Board PastSince Dec 5, 2021 Accepting new patients

Locations

31 Stafford Ave
Stafford, VA 22554
Phone (540) 658-6000

Organizations & group practices 3

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": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1952731481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STAFFORD AVE",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547246",
            "telephone_number": "540-658-6520",
            "fax_number": "540-658-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PENDLETON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224053041",
            "telephone_number": "540-373-7366",
            "fax_number": "540-371-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225547202",
            "country_code": "US",
            "telephone_number": "540-659-2725",
            "fax_number": "540-659-0736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Stafford Ave",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225547246",
            "country_code": "US",
            "telephone_number": "540-658-6520",
            "fax_number": "540-658-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELINE",
        "first_name": "TANYA",
        "middle_name": "LYNN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "PPS-0603736",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinetl@staffordschools.net",
            "affiliation": "N",
            "address_1": "31 Stafford Ave",
            "city": "Stafford",
            "state": "VA",
            "country_code": "US",
            "postal_code": "225547246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.