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NPI Code Detail

MEDICARE: MS. LINDA MARIA MELENDEZ LCSW

MEDICARE: MS. LINDA MARIA MELENDEZ 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 Worker44SC01381600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12321259000OTHERNJAMERIHEALTH
2190448OTHERNJMANAGED HEALTH NETWORK

General Provider Information

NPI Number : 1922156306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA MARIA MELENDEZ LCSW
Provider Business Mailing Address
First Line : 42 DELSEA DR S
Second Line :
City : GLASSBORO
State : NJ
Zip : 08028-2621
Country : US
Telephone Number : 856-863-0006
Fax Number : 856-881-7614
Provider Business Practice Location Address
First Line : 42 DELSEA DR S
Second Line :
City : GLASSBORO
State : NJ
Zip : 08028-2621
Country : US
Telephone Number : 856-863-0006
Fax Number : 856-881-7614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 07/08/2007

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