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NPI Code Detail

MEDICARE: MELISSA MACEDO ACSW

MEDICARE: MELISSA MACEDO ACSW
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 Worker118759CA

General Provider Information

NPI Number : 1912673443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MACEDO ACSW
Provider Business Mailing Address
First Line : 1000 GOODRICH BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5103
Country : US
Telephone Number : 323-832-9795
Fax Number :
Provider Business Practice Location Address
First Line : 1000 GOODRICH BLVD
Second Line :
City : COMMERCE
State : CA
Zip : 90022-5103
Country : US
Telephone Number : 323-832-9795
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2021
Last Update Date : 06/09/2026

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Directions to “ MELISSA MACEDO ACSW” Practice Location

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