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NPI Code Detail

MEDICARE: MELODIE PARKER LCSW

MEDICARE:   MELODIE  PARKER  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 Worker44SC00839100NJ
21041C0700XClinical Social WorkerRO27350NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10032774OTHERNYVALUEOPTIONS, EMPIREPLAN
29447265OTHERNYOXFORD

General Provider Information

NPI Number : 1083617542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODIE PARKER LCSW
Provider Business Mailing Address
First Line : 48 BURD ST
Second Line : STE 201
City : NYACK
State : NY
Zip : 10960-3226
Country : US
Telephone Number : 845-353-9333
Fax Number :
Provider Business Practice Location Address
First Line : 48 BURD ST
Second Line : STE 201
City : NYACK
State : NY
Zip : 10960-3226
Country : US
Telephone Number : 845-353-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 07/08/2007

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Directions to “ MELODIE PARKER LCSW” Practice Location

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