Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maya Elizabeth Melchert

Individual provider Clinical Social Worker · NPI 1790670735

Maya Elizabeth Melchert is a Clinical Social Worker in Mequon, Wisconsin. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2025

Practice location Address checks out

11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443
Phone: (262) 999-2792
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 E Wells St Apt 602, Milwaukee, WI 53202-3578 — (414) 870-5122

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 12302-123 (WI)

Record details

NPI number1790670735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 10, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Mequon