Melissa J Iudice, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2008 Issued in NH

Practice address

15 Old Rollinsford Rd Ste 302
Dover, NH 03820-2819

Phone

(603) 742-9200

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Melissa Iannacone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1225172844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD ROLLINSFORD RD STE 302",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202819",
            "telephone_number": "603-742-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IUDICE",
        "first_name": "MELISSA",
        "middle_name": "J",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC10915",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "IANNACONE",
            "credential": "LMSWCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samhitha Rai Intscher, MD
• Charles Whitney Inzer, LICSW
• Anthony Ippolito, DO
• Kenneth Arthur Isaacs, BS PHARMACY
• Julie Iskra, DMD
• Suzanne Iverson, M. ED.
• J & M Mullen Enterprise, LLC (ComForcare Home Care)
• Jace Home Hearing, LLC
• Brian Frederick Jackson, PH.D.
• Loren Jacob, DC

• Clinical Social Worker in Dover, NH
• Providers in Dover, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.