Healthcare Provider Details

I. General information

NPI: 1881097285
Provider Name (Legal Business Name): MELISSA LALONDE LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MELISSA CLARK LISW-S

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30400 DETROIT RD STE 301
WESTLAKE OH
44145-1855
US

IV. Provider business mailing address

30400 DETROIT RD STE 301
WESTLAKE OH
44145-1855
US

V. Phone/Fax

Practice location:
  • Phone: 216-307-5149
  • Fax:
Mailing address:
  • Phone: 216-307-5149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.100201
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: