Melendez, Michael

Melendez, Michael is an sole proprietor health care provider with primary practice located at 196 Sherwood Ave , Paterson NJ 07502-1623. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Melendez, Michael can be contacted via phone (973) 790-7869.

Contact Information

Primary practice address
196 Sherwood Ave Paterson NJ 07502-1623
Fax: (973) 790-7869
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04708300 New Jersey

Profile Details

NPI number 1285819300
LBN Legal business name Melendez, Michael
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2008
Last updated Jan 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285819300 NPPES
New Jersey MEDICAID 0095745

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