Healthcare Provider Details

I. General information

NPI: 1124042890
Provider Name (Legal Business Name): ROBIN S. MELZER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN S. MELZER

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 33RD ST. SUITE B
SACRAMENTO CA
95817
US

IV. Provider business mailing address

2660 33RD ST. SUITE B
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-736-3952
  • Fax: 916-736-3952
Mailing address:
  • Phone: 916-736-3952
  • Fax: 916-736-3952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW14326
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: