DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MELISSA KELLY MOODY LCSW

MEDICARE: MELISSA KELLY MOODY LCSW
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 Worker3002KY

General Provider Information

NPI Number : 1790892578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KELLY MOODY LCSW
Provider Business Mailing Address
First Line : PO BOX 776351
Second Line :
City : CHICAGO
State : IL
Zip : 60677-6351
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4915 NORTON HEALTHCARE BLVD STE 301
Second Line :
City : LOUISVILLE
State : KY
Zip : 40241-2866
Country : US
Telephone Number : 502-394-6460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 10/12/2023

Similar Medicare Providers

1164583043 — DR. KENNETH GREGORY PUGH M.D.
Practice Location Address:
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY
40241-2866
Practice Phone: 301-661-5076
Practice Fax:
1518283993 — AMBICA MANJUNATH TUMKUR MD
Practice Location Address:
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY
40241-2866
Practice Phone: 502-394-6460
Practice Fax: 502-394-6465
1144228164 — REBEKAH J WOODS D.O.
Practice Location Address:
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY
40241-2866
Practice Phone: 502-394-6460
Practice Fax: 502-394-6465
1447457353 — TAMIKA M BURRUS MD
Practice Location Address:
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY
40241-2866
Practice Phone: 502-394-6460
Practice Fax: 502-394-6465
1285827725 — DR. MAHAN GHIASSI M.D.
Practice Location Address:
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY
40241-2866
Practice Phone: 502-394-6390
Practice Fax: 502-394-6388
1588984884 — MRS. BRITTANY M. ROSS ARNP
Practice Location Address:
4915 NORTON HEALTHCARE BLVD STE 301
LOUISVILLE, KY
40241-2866
Practice Phone: 502-394-6390
Practice Fax: 502-394-6388

Directions to “ MELISSA KELLY MOODY LCSW” 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.