Melissa Sarnecki, LCSW

Individual provider Active NPI Clinical Social Worker · Nashville, IN

NPI 1639770209 · NPPES record last updated Mar 10, 2021

Key facts

NPI
1639770209
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
34008984A (IN)
Practice address
1156 Old State Road 46
Nashville, IN 47448-9211
Phone
(812) 988-2258
NPI assigned
Nov 2, 2020
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)
Yes

State licenses

LicenseStateTypeSpecialty
34008984AINMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34008984A IN Yes

Addresses

Primary practice location

1156 Old State Road 46
Nashville, IN 47448-9211

Mailing address

645 S Rogers St
Bloomington, IN 47403-2353
Phone (812) 339-1691

Other names

  • Melissa Tippetts Former name

Other providers in Nashville, IN

All providers in Nashville, IN · Clinical Social Worker in Indiana

Sources for this page

Verify at the official NPI Registry.