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NPI Code Detail

MEDICARE: EMANUEL MELENDEZ JR. MSW, LCSW

MEDICARE: EMANUEL MELENDEZ JR. MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC06589200NJ

General Provider Information

NPI Number : 1013879667
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMANUEL MELENDEZ JR. MSW, LCSW
Provider Business Mailing Address
First Line : 107 N 12TH ST
Second Line :
City : MILLVILLE
State : NJ
Zip : 08332-3319
Country : US
Telephone Number : 609-435-2248
Fax Number : 856-765-5210
Provider Business Practice Location Address
First Line : 221 RIVER STREET, 9TH FLOOR
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5990
Country : US
Telephone Number : 646-941-7645
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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