MRS. MELISSA JO BIRDWELL LCSW
NPI 1659475341
Social Worker in Kingsport, TN

Q: What is Melissa Birdwell's NPI number?

The NPI number for Melissa Birdwell is 1659475341. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Q: What is Melissa Birdwell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Birdwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 12, 2006PECOS Enrolled

2001 STONEBROOK PL, KINGSPORT, TN 37660(423) 224-1000(423) 224-1023 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Melissa Jo Birdwell Lcsw NPPES

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

MRS. MELISSA JO BIRDWELL LCSW (NPI 1659475341) is an individual social worker in Kingsport, Tennessee, licensed in Tennessee (LCSW0000004543) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659475341

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. MELISSA JO BIRDWELLCredential: LCSW

Location Address2001 STONEBROOK PLKingsport, TN 37660

Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3696

Phone(423) 224-1000

Fax(423) 224-1023

Sole ProprietorNo

Enumeration DateSeptember 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659475341 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 TN · LCSW0000004543

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.

2001 STONEBROOK PL, Kingsport, TN 37660

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Other Identifiers 10

Other178143Anthem Pref Trigon

Other4103787Magellan Navigator

Other5631185First Health

Medicare ID-Type Unspecified3989599TN

Other334969Value Options

Other359996Managed Health Net

Other4103787Magellan Pinnacle

Other178143Anthem Prof Trigon

Other4103787Magellan Summit

Medicare ID-Type Unspecified3920247TN · Grp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Melissa Jo Birdwell Lcsw 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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Birdwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frontier Health

Same address

Adolescent and Children Mental Health

2001 STONEBROOK PL
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee enrollment
126 clinicians in this Medicare group

NPI 1578627006 (423) 224-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LEIGH CAROL LANDRESS BA

Case Manager/Care Coordinator

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

JOSHUA PAUL LEDFORD BS

Counselor

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

REBECCA LEIGH WALDENSTROM MED

Counselor

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

MRS. ELIZABETH ANN JONES MA

Psychologist

2001 STONEBROOK PL, ASSESSMENT AND FORENSIC SERVICES
KINGSPORT, TN 37660

Sullivan County (423) 224-1318

ASHLEY S EVANS LPC

Counselor (Professional)

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

CYNTHIA ANN DUNCAN BS

Case Manager/Care Coordinator

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

ROBERT KELTNER WEATHERLY III BSW

Counselor

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

ALESSANDRA M ROMANO

Counselor

2001 STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Birdwell's NPI number?

The NPI number for Melissa Birdwell is 1659475341. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Melissa Birdwell located?

Melissa Birdwell practices at 2001 Stonebrook Pl, Kingsport, TN 37660. The listed phone number is (423) 224-1000.

What is Melissa Birdwell's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Melissa Birdwell enrolled in Medicare?

Yes. Melissa Birdwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Birdwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Birdwell reassigns Medicare benefits to Frontier Health (Kingsport, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Birdwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Birdwell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.