Melissa Bada-Devers
Individual provider Active NPI Clinical Social Worker · South River, NJ
NPI 1104436609 · NPPES record last updated Aug 9, 2020
Key facts
- NPI
- 1104436609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 124 Albourne St
South River, NJ 08882-1476 - Phone
- (917) 806-6943
- NPI assigned
- Aug 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | NJ | Yes |
Addresses
Primary practice location
124 Albourne St
South River, NJ 08882-1476
Mailing address
124 Albourne St
South River, NJ 08882-1476
Phone (917) 806-6943
Other providers in South River, NJ
- Edon Alibegu
- Aneri Health LLC
- Vivian Attanasio
- Shruti Balwalli-Udyawer
- Ann Basta
- Ashraf M Basta
- Paula Lynn Beisser
- Beyond Your Miorror LLC
All providers in South River, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.