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General NPI Number Information
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NPI Number | 1336920214
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Entity Type | Individual
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Provider Name | MARIA LYNN MELLON LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 1121 BOYCE RD STE 2100
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City | PITTSBURGH
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State | PA
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Zip | 15241-4020
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Country | US
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Telephone | 412-256-8256
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Fax | 888-971-4394
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Provider Business Mailing Address
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Address Line | 244 CENTER RD STE 301
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City | MONROEVILLE
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State | PA
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Zip | 15146-1789
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Country | US
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Telephone | 412-256-8256
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Fax | 888-971-4394
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW140900
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW026942
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License Number State | PA
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