Melanie Beverely Roberts-Fuston, LCSW
Individual provider Active NPI Clinical Social Worker · Whiteman Air Force Base, MO
NPI 1154450955 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1154450955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801098656 (MI)
- Practice address
- 331 Sijan Ave
Whiteman Air Force Base, MO 65305-1269 - Phone
- (660) 687-4341
- Fax
- (660) 687-5256
- NPI assigned
- Mar 5, 2007
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801098656 | MI | Yes |
Addresses
Primary practice location
331 Sijan Ave
Whiteman Air Force Base, MO 65305-1269
Mailing address
6290 Bailey Rd
Eau Claire, MI 49111-9654
Phone (575) 361-4844
Other providers in Whiteman Air Force Base, MO
- Jason Allen Miller
- Shawn Hamilton Miranda
- Tara Michele Nelson
- Ana Cristina Padilla Aparicio
- William Price
- Arthur Reynold Ross Jr.
- Samuel Moore Saitie
- Shelby Lynn Smiley
- Spirit Chiropractic LLC
- Emily Wascisin
All providers in Whiteman Air Force Base, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2019. 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.