MEDICARE: MELANEE ANDERSON CPST

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	171M00000X	Case Manager/Care Coordinator
2	1041C0700X	Clinical Social Worker	S.2513147	OH
3	104100000X	Social Worker	S.2504079-TRNE	OH
4	104100000X	Social Worker		OH

General Provider Information

NPI Number	:	1649781238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANEE ANDERSON CPST

Provider Business Mailing Address
First Line	:	13201 GRANGER RD
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-1978
Country	:	US
Telephone Number	:	216-831-2255
Fax Number	:

Provider Business Practice Location Address
First Line	:	13201 GRANGER RD
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-1978
Country	:	US
Telephone Number	:	216-831-2255
Fax Number	:

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

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	01/09/2026

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Directions to “ MELANEE ANDERSON CPST” Practice Location

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