MEDICARE: MELANIE B NESS LCSW, LICSW

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	LC302141	DC
2	1041C0700X	Clinical Social Worker	0904002109	VA

General Provider Information

NPI Number	:	1821065103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE B NESS LCSW, LICSW

Provider Business Mailing Address
First Line	:	327 6TH ST SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2754
Country	:	US
Telephone Number	:	202-546-9133
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 1/2 N WASHINGTON ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2311
Country	:	US
Telephone Number	:	703-739-6010
Fax Number	:

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

Provider Enumeration Date	:	03/04/2006
Last Update Date	:	07/08/2007

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