Healthcare Provider Details

I. General information

NPI: 1689700544
Provider Name (Legal Business Name): MELANIE MCDUFF LISW-CP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORI VAUGHN LISW-CP

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 11/24/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 WEDGEFIELD DR
ASHEVILLE NC
28806-2226
US

IV. Provider business mailing address

4696 SIDNEYS RD
WALTERBORO SC
29488-9756
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-8748
  • Fax: 828-667-5843
Mailing address:
  • Phone: 843-708-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberC013145
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8268
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number8268
License Number StateSC
# 5
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number8268
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8268
License Number StateSC
# 7
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number8268
License Number StateSC
# 8
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8268
License Number StateSC
# 9
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8268
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: