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NPI Code Detail

MEDICARE: MELLYSA FELIPE MSW

MEDICARE: MELLYSA FELIPE MSW
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 Worker
2251B00000XCase Management Agency
3171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982061933
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELLYSA FELIPE MSW
Provider Business Mailing Address
First Line : 10720 CARIBBEAN BLVD STE 320
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1244
Country : US
Telephone Number : 786-234-5888
Fax Number : 786-231-5880
Provider Business Practice Location Address
First Line : 10720 CARIBBEAN BLVD STE 320
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1244
Country : US
Telephone Number : 786-234-5888
Fax Number : 786-231-5880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2016
Last Update Date : 07/21/2022

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