MEDICARE: LAFAYETTE SCHOOL DISTRICT

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	101YS0200X	School Counselor

General Provider Information

NPI Number	:	1972455822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAFAYETTE SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	3477 SCHOOL ST
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4503
Country	:	US
Telephone Number	:	925-280-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3477 SCHOOL ST
Second Line	:
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4503
Country	:	US
Telephone Number	:	925-280-3900
Fax Number	:

Authorized Official
Title or Position	:	CHIEF BUSINESS OFFICIAL
Name	:	MELISSA DODD
Credential	:	CBO
Telephone Number	:	925-927-3504

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “LAFAYETTE SCHOOL DISTRICT ” Practice Location

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