Healthcare Provider Details

I. General information

NPI: 1790876944
Provider Name (Legal Business Name): MELISSA MUSLER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 MAIN ST STE 401
MILFORD MA
01757
US

IV. Provider business mailing address

171 MAIN ST STE 401
MILFORD MA
01757
US

V. Phone/Fax

Practice location:
  • Phone: 508-473-4984
  • Fax: 508-482-7316
Mailing address:
  • Phone: 508-473-4984
  • Fax: 508-482-7316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number1025512
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1025512
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: