Active NPI
Melissa Ann Lynch, LCSW
- Clinical Social Worker
- Bloomington, IN
National Provider Identifier
1972321057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34011448A
- Practice address
- 7335 E Lampkins Ridge Rd
Bloomington, IN 47401-8675 - Phone
- (812) 369-2215
- NPI assigned
- Sep 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 34011448A | IN | Primary |
Addresses
Primary practice location
7335 E Lampkins Ridge Rd
Bloomington, IN 47401-8675
Mailing address
7335 E Lampkins Ridge Rd
Bloomington, IN 47401-8675
Phone (812) 369-2215
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34011448A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Center for Recovery, LLC | Past | Accepting new patients |
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.
-
- Psychiatric Residential Treatment Facility
- Bloomington, IN
- NPI 1295276160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727481600000",
"number": "1972321057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7335 E LAMPKINS RIDGE RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018675",
"telephone_number": "812-369-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7335 E LAMPKINS RIDGE RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018675",
"telephone_number": "812-369-2215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-28",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34011448A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.