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NPI Code Detail

MEDICARE: MS. MELISSA MICHELE SCHOTT LCSW LAC

MEDICARE: MS. MELISSA MICHELE SCHOTT LCSW LAC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorACD-106CO
21041C0700XClinical Social WorkerCSW-218CO
31041C0700XClinical Social WorkerCSW-128CO

General Provider Information

NPI Number : 1053318204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA MICHELE SCHOTT LCSW LAC
Provider Business Mailing Address
First Line : 4747 BRANT RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-3173
Country : US
Telephone Number : 719-338-7214
Fax Number : 719-475-0993
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-432-2780
Fax Number : 571-231-6762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 03/27/2024

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