Birdwell, Melissa Jo

Birdwell, Melissa Jo is an individual health care provider with primary practice located at 2001 Stonebrook Pl , Kingsport TN 37660. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Birdwell, Melissa Jo can be contacted via phone (423) 224-1000.

Contact Information

Primary practice address
2001 Stonebrook Pl Kingsport TN 37660
Phone: (423) 224-1000
Fax: (423) 224-1023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW0000004543 Tennessee

Profile Details

NPI number 1659475341
LBN Legal business name Birdwell, Melissa Jo
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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 1659475341 NPPES
Other 178143 ANTHEM PREF TRIGON
Other 359996 ANTHEM PREF TRIGON
Other 4103787 ANTHEM PREF TRIGON
Other 4103787 ANTHEM PREF TRIGON
Other 334969 ANTHEM PREF TRIGON
Other 5631185 ANTHEM PREF TRIGON
Other 178143 ANTHEM PREF TRIGON
Other 4103787 ANTHEM PREF TRIGON

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