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NPI Code Detail

MEDICARE: MELANIE NEWKIRK

MEDICARE: MELANIE NEWKIRK
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 WorkerLC50079000DC

General Provider Information

NPI Number : 1720388432
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE NEWKIRK
Provider Business Mailing Address
First Line : 10415 CAMPUS WAY S
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2412 MINNESOTA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-5300
Country : US
Telephone Number : 202-688-3580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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Directions to “ MELANIE NEWKIRK ” Practice Location

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