MEDICARE: MS. MELANIE J YODER LSCSW

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	07233	KS

General Provider Information

NPI Number	:	1700801297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE J YODER LSCSW

Provider Business Mailing Address
First Line	:	2809 LOCKRIDGE DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66047-3934
Country	:	US
Telephone Number	:	785-550-3093
Fax Number	:	785-205-1774

Provider Business Practice Location Address
First Line	:	5040 BOB BILLINGS PKWY STE A2
Second Line	:	A-2
City	:	LAWRENCE
State	:	KS
Zip	:	66049-3843
Country	:	US
Telephone Number	:	785-218-4922
Fax Number	:

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	05/22/2026

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