Black, Melissa Katherine

Black, Melissa Katherine is an individual health care provider with primary practice located at 299 12Th St , Marina CA 93933-6003. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Black, Melissa Katherine can be contacted via phone (831) 647-7652.

Contact Information

Primary practice address
299 12Th St Marina CA 93933-6003
Phone: (831) 647-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW59562 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW79673 California

Profile Details

NPI number 1336337732
LBN Legal business name Black, Melissa Katherine
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 13th, 2017 - about 8 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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