IndividualActive
Melissa Chancellor
NPI 1083984637 · Clinical Social Worker · Menasha, WI
Provider details
- NPI number
- 1083984637
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15413-132 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1095 Midway Rd
Menasha, WI 54952-1115
Phone: (920) 720-2300
Street-level locationGet directions
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Additional practice locations (1)
- 459 E 1st StFond Du Lac, WI 54935-4505Phone: (920) 929-3568Fax: (920) 929-3129
Registry dates
- Enumerated
- 2012-01-12
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.