MELISSA RENEE CHIVIS (LMSW) – Clinical Social Worker, NPI 1902215445

MELISSA RENEE CHIVIS (LMSW) is a healthcare provider. based in Grand rapids, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801104089 (MI). The NPI Number for MELISSA RENEE CHIVIS (LMSW) is 1902215445

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA RENEE CHIVIS (LMSW)
NPI
1902215445
Phone
(616) 249-0159
Address
311 STATE ST SE
Enumeration Date
8 August 2014
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485818777
Graduation Year
2014 (12 years ago)
PAC ID
6800128422
Group Practice PAC ID
2769775386
Professional Enrollment ID
I20191031003097
Address ID
MI482201361FE23231AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MELISSA RENEE CHIVIS (LMSW)

  • 311 STATE ST SE

    GRAND RAPIDS, MI 495034312

    Phone: (616) 249-0159

    Fax: (616) 249-8688

    Type: Mailing

  • 23231 WOODWARD AVE

    FERNDALE, MI 482201361

    Phone: (248) 581-8777

    Fax: (888) 975-9374

    Type: Mailing

  • 3124 N ALTADENA AVE

    ROYAL OAK, MI 480733517

    Phone: (616) 498-6811

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191031003097IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769775386View full group profile
NameSpecialtyState
Clinical PsychologistOH
-MI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerFL
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Does MELISSA RENEE CHIVIS (LMSW) have a public NPI I can cite?
Public records show MELISSA RENEE CHIVIS (LMSW) under NPI 1902215445.
Does the public listing show MELISSA RENEE CHIVIS (LMSW) as active?
MELISSA RENEE CHIVIS (LMSW)'s NPI record reflects an active status in NPPES.
What type of care does MELISSA RENEE CHIVIS (LMSW) provide?
MELISSA RENEE CHIVIS (LMSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MELISSA RENEE CHIVIS (LMSW)?
MELISSA RENEE CHIVIS (LMSW) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Why is information missing for MELISSA RENEE CHIVIS (LMSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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