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NPI Code Detail

MEDICARE: MELISSA G GRASSO LCSW

MEDICARE: MELISSA G GRASSO 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 WorkerCSW004784GA

General Provider Information

NPI Number : 1548501331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA G GRASSO LCSW
Provider Business Mailing Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 404-618-3050
Fax Number :
Provider Business Practice Location Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 404-618-3050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2013
Last Update Date : 03/14/2023

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Directions to “ MELISSA G GRASSO LCSW” Practice Location

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