MEDICARE: MELISSA KAISER LICDC-CS, LSW-MSW,

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LICDC.021336	OH
2	104100000X	Social Worker	258344	KY
3	104100000X	Social Worker	S.1500927	OH

General Provider Information

NPI Number	:	1548718067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA KAISER LICDC-CS, LSW-MSW,

Provider Business Mailing Address
First Line	:	610 N MARSHALL RD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-3832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8963 KINGSRIDGE DR STE A
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1623
Country	:	US
Telephone Number	:	513-464-9220
Fax Number	:

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

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	06/01/2026

Similar Medicare Providers

1760507164 — DR. JAMES W. MOENTER, INC
Practice Location Address:

8973 KINGSRIDGE DR
DAYTON, OH
45458-1623

Practice Phone: 937-435-0315
Practice Fax:

1982724407 — JAMES MOENTER O.D.
Practice Location Address:

8973 KINGSRIDGE DR
DAYTON, OH
45458-1623

Practice Phone: 937-435-0315
Practice Fax:

1225270085 — DEBORAH RAGSDALE LDO
Practice Location Address:

8973 KINGSRIDGE DR
DAYTON, OH
45458-1623

Practice Phone: 937-435-0315
Practice Fax:

1700396074 — HEATHER RENE WILLIAMS
Practice Location Address:

8963 KINGSRIDGE DR STE A
DAYTON, OH
45458-1623

Practice Phone: 513-571-7118
Practice Fax:

1164071536 — MACKENZIE RENE HARRIS LPC, LICDC
Practice Location Address:

8963 KINGSRIDGE DR STE A
DAYTON, OH
45458-1623

Practice Phone: 606-485-9323
Practice Fax:

1710749742 — SCOTT ISGRIGG
Practice Location Address:

8963 KINGSRIDGE DR STE A
DAYTON, OH
45458-1623

Practice Phone: 513-464-9220
Practice Fax:

Directions to “ MELISSA KAISER LICDC-CS, LSW-MSW,” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.