MEDICARE: MS. GWEN FELICE MELNICK LICSW

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	LC50077699	DC
2	1041C0700X	Clinical Social Worker	CW018448	PA

General Provider Information

NPI Number	:	1902962608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GWEN FELICE MELNICK LICSW

Provider Business Mailing Address
First Line	:	1912 WIGHTMAN ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1538
Country	:	US
Telephone Number	:	202-746-6196
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 GRANT ST STE 2900
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	202-746-6196
Fax Number	:

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

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	12/27/2022

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Directions to “ MS. GWEN FELICE MELNICK LICSW” Practice Location

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