Melonie Attisha, LLMSW
Individual provider Active NPI Clinical Social Worker · Clarkston, MI
NPI 1205407657 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1205407657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 6801110590 (MI)
- Practice address
- 6549 Town Center Dr Ste a
Clarkston, MI 48346-4824 - Phone
- (800) 395-3223
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801110590 | MI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801110590 | MI | Yes |
Addresses
Primary practice location
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Mailing address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (800) 395-3223
Other providers in Clarkston, MI
- Nicole Ash
- Tara Ash
- Associated Radiologists of Clarkston PLC
- Athletico LTD
- Ramsey Attar
- Bethany Joy Atwell
- Pamela Sue Aughe
- Angela Aguilar Avery
- Jerome X Avrushin
- Adesuwa Cynthia Awaye
All providers in Clarkston, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. 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.