MELISSA KATHRYN VAN DINE (NPI# 1629581939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629581939 |
| Entity Type | Individual |
| Full Name | MELISSA KATHRYN VAN DINE |
| Practice Address |
1020 Woodman Dr Ste 330 Dayton OH 45432-1410 |
| Practice Telephone | 9372530606 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1020 WOODMAN DR STE 330 |
| City | DAYTON |
| State | OH |
| Zip Code | 45432-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588174718 | Melanie Jo Grote | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2017-10-02 |
| 1962026492 | Angeleah Wells | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2020-06-01 |
| 1417598756 | Dcruz Nicholas | Counselor | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2019-10-07 |
| 1508427196 | Tracy Lynn Hawk | Case Manager/Care Coordinator | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2019-06-24 |
| 1831755180 | Whitney Lynn Saunders | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2019-05-13 |
| 1770146821 | Tisha Mae Bates | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2019-04-15 |
| 1093289530 | Carissa Marie Mitchell | Counselor | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2019-01-17 |
| 1780156406 | Brooke Lynae Wright | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2018-12-19 |
| 1477067619 | Melanie West | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2017-11-27 |
| 1477066025 | Victoria Lynn Gray | Social Worker | 1020 Woodman Dr Ste 330, Dayton, OH 45432-1410 | 2017-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1790396240 | Joanne Davis | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45424, Dayton, OH 45417-3569 | 2020-08-10 |
| 1083233548 | Lee Wagner | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45404, Dayton, OH 45417-3569 | 2020-04-14 |
| 1639703655 | Karmeika Michelle Mcintosh | Case Manager/Care Coordinator | 117 Ashwood Ave, Dayton, OH 45405-2643 | 2020-02-28 |
| 1043869126 | Joshua Hawes | Case Manager/Care Coordinator | 1258 Catalpa Dr, Dayton, OH 45402-5847 | 2019-09-10 |
| 1154970580 | Dorothy Robinson | Case Manager/Care Coordinator | 5342 Deer Path Ln, Dayton, OH 45415-2807 | 2019-09-09 |
| 1376191080 | Cara Sandell | Case Manager/Care Coordinator | 7691 Poe Ave, Dayton, OH 45414-2552 | 2019-08-27 |
| 1609434844 | Latosha Scott | Case Manager/Care Coordinator | 1442 Swinger Dr, Dayton, OH 45417-8225 | 2019-06-03 |
| 1407410608 | James Darwin Muir | Case Manager/Care Coordinator | 30 Hannah Dr, Dayton, NJ 08810-1365 | 2019-04-24 |
| 1851865703 | Katherine Bernadette Brossart | Case Manager/Care Coordinator | 33 West 1st St, Suite 100, Dayton, OH 45402-1298 | 2019-01-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.