MEDICARE: MS. MELISSA AMISON M.S.ED., MAEA, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	6801101665	MI
2	1041C0700X	Clinical Social Worker	149.015874	IL
3	1041C0700X	Clinical Social Worker	34008063A	IN
4	1041C0700X	Clinical Social Worker	106876	IA
5	1041S0200X	School Social Worker	1996350	IL
6	1041C0700X	Clinical Social Worker	104183	TX
7	1041C0700X	Clinical Social Worker	44SC06295600	NJ
8	1041C0700X	Clinical Social Worker	3726	NH
9	1041C0700X	Clinical Social Worker	I.2506192	OH
10	1041C0700X	Clinical Social Worker	29704	MN
11	1041C0700X	Clinical Social Worker	149.0158774	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326482878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA AMISON M.S.ED., MAEA, LCSW

Provider Business Mailing Address
First Line	:	8829 BURLINGTON AVE
Second Line	:
City	:	BROOKFIELD
State	:	IL
Zip	:	60513-2104
Country	:	US
Telephone Number	:	708-255-5053
Fax Number	:	708-255-5120

Provider Business Practice Location Address
First Line	:	3504 GRAND BLVD
Second Line	:
City	:	BROOKFIELD
State	:	IL
Zip	:	60513-1302
Country	:	US
Telephone Number	:	708-255-5053
Fax Number	:	708-255-5120

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	03/31/2026

Similar Medicare Providers

1316086796 — EDUARDO HERRERA L. AC.
Practice Location Address:

3504 GRAND BLVD
BROOKFIELD, IL
60513-1302

Practice Phone: 708-387-2058
Practice Fax: 708-387-2138

1649398280 — DR. BARBARA KECK D.N.
Practice Location Address:

3504 GRAND BLVD
BROOKFIELD, IL
60513-1302

Practice Phone: 708-308-8314
Practice Fax: 708-485-7003

1942992425 — MELISSA AMISON
Practice Location Address:

3504 GRAND BLVD
BROOKFIELD, IL
60513-1302

Practice Phone: 708-255-5053
Practice Fax: 708-255-5120

1891844023 — TRINA L SHUPTAR CLINICAL SOCIAL WORK
Practice Location Address:

6 COVE RD
BROOKFIELD, CT
06804-1302

Practice Phone: 203-775-2300
Practice Fax: 203-775-0173

1427282912 — PHOENIX TRANSPORTATION LLC
Practice Location Address:

16430 DANE CT E , 16430 DANE CT EAST
BROOKFIELD, WI
53005-1302

Practice Phone: 262-373-0165
Practice Fax: 262-781-7645

1003698317 — SIERRA GRIEVES
Practice Location Address:

611 BROOKFIELD DR
NEW CARLISLE, OH
45344-1302

Practice Phone: 937-638-3758
Practice Fax:

Directions to “ MS. MELISSA AMISON M.S.ED., MAEA, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.