Healthcare Provider Details

I. General information

NPI: 1104746387
Provider Name (Legal Business Name): MELANIE CHANDRA SINGH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 MAIN ST
NORWAY MI
49870-1248
US

IV. Provider business mailing address

1501 WOODWARD AVE
KINGSFORD MI
49802-4318
US

V. Phone/Fax

Practice location:
  • Phone: 906-563-1206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851121142
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: