Individual provider Active NPI

Melissa Misencik, LISW-S

  • Clinical Social Worker
  • Westlake, OH
National Provider Identifier
1952752776
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800216-SUPV Issued in OH
Practice address
26220 Center Ridge Rd
Westlake, OH 44145-4016
Phone
(440) 434-2733
Fax
(440) 848-8666
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 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 I.0800216-SUPV OH Primary

Addresses

Primary practice location

26220 Center Ridge Rd
Westlake, OH 44145-4016

Mailing address

26220 Center Ridge Rd
Westlake, OH 44145-4016
Phone (440) 434-2733

Other names 1

  • Melissa Mason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160922002284 OH Practitioner - Clinical Social Worker 7911294665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear Perspective Therapy, LLCGroup PAC ID 0749767457, 2 clinicians

Practice addresses (Care Compare)

26220 Ctr Ridge Rd
Westlake, OH 44145-4016
Phone (440) 434-2733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800216-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Perspective Therapy, LLC Clinical CurrentSince Dec 15, 2025 Accepting new patients

Locations

26220 Center Ridge Rd
Westlake, OH 44145
Phone (216) 350-0332

Interoperability endpoints

  • Direct secure messaging: pbc.melissamisencik@140094.advancedmd-direct.com

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1952752776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26220 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454016",
            "telephone_number": "440-434-2733",
            "fax_number": "440-848-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26220 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454016",
            "telephone_number": "440-434-2733",
            "fax_number": "440-848-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISENCIK",
        "first_name": "MELISSA",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800216-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.