Anderson, Melissa A

Anderson, Melissa A is an sole proprietor health care provider with primary practice located at 1574 Regent St , Niskayuna NY 12309-4217. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Melissa A can be contacted via phone (401) 256-4049.

Contact Information

Primary practice address
1574 Regent St Niskayuna NY 12309-4217
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01971 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X 077483 New York

Profile Details

NPI number 1730370370
LBN Legal business name Anderson, Melissa A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2007
Last updated Mar 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730370370 NPPES
Rhode Island MEDICAID MS67902

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