Healthcare Provider Details

I. General information

NPI: 1992040141
Provider Name (Legal Business Name): MELANIE ROUM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 POYDRAS ST
NEW ORLEANS LA
70130-6101
US

IV. Provider business mailing address

763 DARREN DR
DENHAM SPRINGS LA
70726-3130
US

V. Phone/Fax

Practice location:
  • Phone: 225-277-4700
  • Fax:
Mailing address:
  • Phone: 225-277-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6413
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904019485
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: