MELISSA BRAK LSW
NPI 1396127601
Social Worker in Lisbon, OH

Active since June 23, 2015PECOS Enrolled
40722 STATE ROUTE 154, LISBON, OH 44432(330) 424-9573(330) 424-0877 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Melissa Brak Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA BRAK LSW (NPI 1396127601) is an individual social worker in Lisbon, Ohio, licensed in Ohio (S.0901398) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396127601
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMELISSA BRAKCredential: LSW
Location Address40722 STATE ROUTE 154Lisbon, OH 44432-8500
Mailing Address46945 Carmel Achor RdRogers, OH 44455-9747 · (330) 429-2090
Fax(330) 424-0877
Sole ProprietorNo
Enumeration DateJune 23, 2015
NPI 1396127601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in OH · S.0901398
Definition

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.

40722 STATE ROUTE 154, Lisbon, OH 44432

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melissa Brak Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
40722 STATE ROUTE 154
LISBON, OH 44432
Social Worker
40722 STATE ROUTE 154
LISBON, OH 44432
Social Worker
40722 STATE ROUTE 154
LISBON, OH 44432
Psychologist
40722 STATE ROUTE 154
LISBON, OH 44432
Social Worker
40722 STATE ROUTE 154
LISBON, OH 44432
Counselor (Mental Health)
40722 STATE ROUTE 154
LISBON, OH 44432
Counselor (Professional)
40722 STATE ROUTE 154
LISBON, OH 44432
Counselor (Mental Health)
40722 STATE ROUTE 154
LISBON, OH 44432

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396127601, enumerated as an "individual" on June 23, 2015.

The provider is located at 40722 STATE ROUTE 154 LISBON, OH 44432 and the phone number is (330) 424-9573.

Social Worker with taxonomy code 104100000X.