Davoli, Melissa Dale
Davoli, Melissa Dale is an individual health care provider with primary practice located at 146 Wind Chime Ct , Raleigh NC 27615-6433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Davoli, Melissa Dale can be contacted via phone (919) 389-1878.Contact Information
Primary practice address
146 Wind Chime Ct
Raleigh NC 27615-6433
Phone: (919) 389-1878
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C003329 | North Carolina |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | C003329 | North Carolina |
Profile Details
NPI number | 1053424341 |
---|---|
LBN Legal business name | Davoli, Melissa Dale |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2006 |
Last updated | Aug 30th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053424341 | NPPES |
North Carolina | MEDICAID | 6002893 |
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