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NPI Code Detail

MEDICARE: MELISSA ANN OGLE LMSW

MEDICARE: MELISSA ANN OGLE LMSW
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
1104100000XSocial Worker15054TN
2104100000XSocial WorkerMC23285ME

General Provider Information

NPI Number : 1922591288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN OGLE LMSW
Provider Business Mailing Address
First Line : 100 BRIARWOOD DR
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-4201
Country : US
Telephone Number : 865-214-7017
Fax Number : 865-672-6426
Provider Business Practice Location Address
First Line : 10434 JACKSON OAKS WAY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3293
Country : US
Telephone Number : 865-588-3173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2018
Last Update Date : 03/11/2026

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Directions to “ MELISSA ANN OGLE LMSW” Practice Location

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