MEDICARE: MELISSA JANE SHELDON 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
1	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor	21052	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093414542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA JANE SHELDON LCSW

Provider Business Mailing Address
First Line	:	8002 KING HELIE BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-1435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 LITTLE RD STE 206
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-5403
Country	:	US
Telephone Number	:	727-290-5932
Fax Number	:	727-807-3311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2023
Last Update Date	:	09/09/2024

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