NPIMap

Organization Active NPI

Melissa Callaham LCSW

  • Clinical Social Worker
  • Stuart, FL
National Provider Identifier
1972167294
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MELISSA CALLAHAM LCSW
Practice address
900 East Ocean Blvd.
Suite D-130, Office 26
Stuart, FL 34994
Phone
(772) 204-5260
NPI assigned
Apr 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Melissa Callaham, LCSWNPI 1528528056
Title
Owner
Phone
(772) 204-5260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

900 East Ocean Blvd.
Suite D-130, Office 26
Stuart, FL 34994

Mailing address

900 East Ocean Blvd.
Suite D-130, Office 26
Stuart, FL 34994
Phone (772) 204-5260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1972167294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EAST OCEAN BLVD.",
            "address_2": "SUITE D-130, OFFICE 26",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-204-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EAST OCEAN BLVD.",
            "address_2": "SUITE D-130, OFFICE 26",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-204-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA CALLAHAM LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "CALLAHAM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-204-5260",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.