MEDICARE: MELANY LOUELLA ARANGO LMSW

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	106S00000X	Behavior Technician	4471844	ID
2	104100000X	Social Worker	4471844	ID
3	171M00000X	Case Manager/Care Coordinator	4471844	ID

General Provider Information

NPI Number	:	1578674230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANY LOUELLA ARANGO LMSW

Provider Business Mailing Address
First Line	:	1975 CABELLARO DR
Second Line	:
City	:	AMMON
State	:	ID
Zip	:	83406-6776
Country	:	US
Telephone Number	:	208-671-5017
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 E 17TH ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-6469
Country	:	US
Telephone Number	:	208-498-0085
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/12/2026

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