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

Melissa Avina, LISW-SUPV

Individual provider Clinical Social Worker · NPI 1922280635

Melissa Avina, LISW-SUPV is a Clinical Social Worker in Archbold, Ohio. Qualified in 2019, 7 years ago. Practices with Shalom Ministries, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2007
Specialties on file
2

Practice location Address checks out

22251 State Route 2
Archbold, OH 43502-9452
Phone: (419) 445-1552
Fax: (419) 445-1401
Show map & directions

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

Additional practice locations (1)

  • 1 Stranahan Sq, Toledo, OH 43604-1447 — (800) 693-6000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1901959-SUPV (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence S.0025536 (OH)

Record details

NPI number1922280635
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-SUPV
Sole proprietorNo
NPI enumeratedDecember 4, 2007
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shalom Ministries — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Archbold