Healthcare Provider Details

I. General information

NPI: 1548208150
Provider Name (Legal Business Name): MELANIE K FALLS LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25111 COUNTRY CLUB BLVD 290
NORTH OLMSTED OH
44070-5345
US

IV. Provider business mailing address

24800 HIGHPOINT RD
BEACHWOOD OH
44122-6041
US

V. Phone/Fax

Practice location:
  • Phone: 440-614-2520
  • Fax: 440-614-2526
Mailing address:
  • Phone: 216-831-6611
  • Fax: 216-831-2726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.0005902-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: