Watson-Clark, Melissa

Watson-Clark, Melissa is an individual health care provider with primary practice located at 107 Weymouth St , Upper Marlboro MD 20774-1744. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Watson-Clark, Melissa can be contacted via phone (410) 645-0677.

Contact Information

Primary practice address
107 Weymouth St Upper Marlboro MD 20774-1744
Phone: (410) 645-0677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 13893 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13893 Maryland

Profile Details

NPI number 1306080718
LBN Legal business name Watson-Clark, Melissa
Credentials LCSW-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Jul 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306080718 NPPES
Maryland MEDICAID 974745

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