=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063316487
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MELODY KREML LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2026
-----------------------------------------------------
Last Update Date | 10/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 GREAT WESTERN DR UNIT Q4
-----------------------------------------------------
City | LONGMONT
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80501-9795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-336-0398
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1601 GREAT WESTERN DR UNIT Q4
-----------------------------------------------------
City | LONGMONT
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80501-9795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-336-0398
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 0009927424
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------