BEVERLY JEAN MELLUM (NPI# 1790105823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790105823 |
| Entity Type | Individual |
| Full Name | BEVERLY JEAN MELLUM |
| Credential | LSW |
| Practice Address |
118 Maple Ave. Belle Fontaine OH 43311 |
| Mailing Address |
Po Box 817 West Liberty OH 43357-0817 |
| Practice Telephone | 9375991975 |
| Practice Fax Number | 9375992769 |
| Mailing Telephone | 9374658065 |
| Mailing Fax Number | 9374650442 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1302519 | OH | Behavioral Health & Social Service Providers |
| Street Address |
118 MAPLE AVE. |
| City | BELLE FONTAINE |
| State | OH |
| Zip Code | 43311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609577 | Erica Lynn Ivey | Social Worker | 70 W. South St, Springboro, OH 45066 | 2020-11-02 |
| 1083214746 | Valerie Cruea | Social Worker | 6138 Creek Rd Se, Washington Court House, OH 43160-9726 | 2020-10-30 |
| 1316547243 | Liana Williams | Social Worker | 994 Jefferson Chase Way, Blacklick, OH 43004-9160 | 2020-10-29 |
| 1245839513 | Kathryn Coulson | Social Worker | 2521 Hackberry St Apt 6, Cincinnati, OH 45206-2143 | 2020-10-19 |
| 1063010197 | Afia Chrappah | Social Worker | 4281 Secludedwood Ct, Columbus, OH 43230-4153 | 2020-10-12 |
| 1437757754 | Siobhan Dupree | Social Worker | 3689 Lee Rd Ste 2a, Shaker Heights, OH 44120-5115 | 2020-10-09 |
| 1538766027 | Taylor Gallagher | Social Worker | 4310 E 71st St, Cleveland, OH 44105-5759 | 2020-10-07 |
| 1871190223 | Joanna Ripple | Social Worker | 2730 Progress Park Dr, Stow, OH 44224-2120 | 2020-10-07 |
| 1700483674 | Jaime Mahaffey | Social Worker | 3350 S Kettering Blvd, Moraine, OH 45439-2011 | 2020-10-05 |
| 1083211064 | Olivia Rose Carroll | Social Worker | 6372 Shallowbrook Ct, Loveland, OH 45140-8265 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BELLE FONTAINE |
| Zip Code | 43311 |
Please comment or provide details below to improve the information on BEVERLY JEAN MELLUM.
| 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.