MEDICARE: MELISSA TORREGANO WATSON 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	6513	LA

General Provider Information

NPI Number	:	1487932497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA TORREGANO WATSON LCSW

Provider Business Mailing Address
First Line	:	PO BOX 13921
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70185-3921
Country	:	US
Telephone Number	:	504-908-9688
Fax Number	:

Provider Business Practice Location Address
First Line	:	4422 SAINT CHARLES AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-4830
Country	:	US
Telephone Number	:	504-908-9688
Fax Number	:

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

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	07/25/2011

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