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NPI Code Detail

MEDICARE: MRS. MELISSA D FLETCHER LCSW

MEDICARE:  MRS. MELISSA D FLETCHER  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 Worker2022039938MO
2104100000XSocial Worker2012013745MO

General Provider Information

NPI Number : 1447417613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA D FLETCHER LCSW
Provider Business Mailing Address
First Line : 3100 NE 83RD ST STE 1001
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-4460
Country : US
Telephone Number : 816-468-0400
Fax Number :
Provider Business Practice Location Address
First Line : 3100 NE 83RD ST STE 1001
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-4460
Country : US
Telephone Number : 816-468-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 10/26/2022

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Directions to “ MRS. MELISSA D FLETCHER LCSW” Practice Location

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