Clontz, Melinda H
Clontz, Melinda H is an individual health care provider with primary practice located at 117 N Poplar St , Lincolnton NC 28092-3315. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clontz, Melinda H can be contacted via phone (704) 754-4726.Contact Information
Primary practice address
117 N Poplar St
Lincolnton NC 28092-3315
Phone: (704) 754-4726
Fax: (704) 754-4726
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005411 | North Carolina |
Profile Details
| NPI number | 1770653438 |
|---|---|
| LBN Legal business name | Clontz, Melinda H |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jul 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770653438 | NPPES |
| North Carolina | MEDICAID | 6003103 |
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