Melissa Leigh Raby, MA, MSW, LCSW, CSOTP
Individual provider Active NPI Clinical Social Worker · MC Kenney, VA
NPI 1619220100 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1619220100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904007084 (VA)
- Practice address
- 9736 Lew Jones Rd
MC Kenney, VA 23872-2936 - Phone
- (804) 478-5006
- NPI assigned
- Oct 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Treatment Center LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007084 | VA | Yes |
Addresses
Primary practice location
9736 Lew Jones Rd
MC Kenney, VA 23872-2936
Mailing address
P.O. Box 27
MC Kenney, VA 23872
Phone (804) 478-5006
Other providers in MC Kenney, VA
- Megan Cunningham Hawkins
- Loviemae Corporation
- Kimberly Maitland
- New Chapter Transportation
- New Edition LLC
- Riccobene & Associates CC, DDS, PC
- Samantha Selvage
- Balvinder Singh
- Wayne Starke Sr.
- Steven Castro
All providers in MC Kenney, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. 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.