Healthcare Provider Details

I. General information

NPI: 1700801297
Provider Name (Legal Business Name): MELANIE J YODER LSCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5040 BOB BILLINGS PKWY STE A2 A-2
LAWRENCE KS
66049-3843
US

IV. Provider business mailing address

2809 LOCKRIDGE DR
LAWRENCE KS
66047-3934
US

V. Phone/Fax

Practice location:
  • Phone: 785-218-4922
  • Fax:
Mailing address:
  • Phone: 785-550-3093
  • Fax: 785-205-1774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07233
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: