MEDICARE: MELISSA LEANN EICH-RICHARDSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1386026789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LEANN EICH-RICHARDSON

Provider Business Mailing Address
First Line	:	110 N. HILLSIDE RD
Second Line	:	SUITE 21
City	:	SOUTH DEERFIELD
State	:	MA
Zip	:	01373-9726
Country	:	US
Telephone Number	:	413-387-8355
Fax Number	:	413-200-3100

Provider Business Practice Location Address
First Line	:	110 N HILLSIDE RD STE 21
Second Line	:
City	:	SOUTH DEERFIELD
State	:	MA
Zip	:	01373-9727
Country	:	US
Telephone Number	:	413-387-8355
Fax Number	:	413-200-3100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	09/19/2022

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