Healthcare Provider Details

I. General information

NPI: 1144599150
Provider Name (Legal Business Name): MELISSA SUE ADCOCK LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA SUE SLUSHER LCSW

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1464 IVER ST
COLORADO SPRINGS CO
80910-3260
US

IV. Provider business mailing address

1464 IVER ST
COLORADO SPRINGS CO
80910-3260
US

V. Phone/Fax

Practice location:
  • Phone: 765-210-0220
  • Fax:
Mailing address:
  • Phone: 765-210-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33005683A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSW.09923913
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW24016
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34006386A
License Number StateIN
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: