Melinda Alston, LCSW

Individual provider Active NPI Clinical Social Worker · Wheaton, IL

NPI 1922344530 · NPPES record last updated Jan 4, 2022

Key facts

NPI
1922344530
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149005201 (IL)
Practice address
109 S Blanchard St
Wheaton, IL 60187-5813
Phone
(630) 205-8294
NPI assigned
Dec 31, 2012
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)
No

State licenses

LicenseStateTypeSpecialty
149005201ILMDClinical Social Worker
2082711ILMDSchool Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 2082711 IL
Clinical Social Worker 1041C0700X 149005201 IL Yes

Addresses

Primary practice location

109 S Blanchard St
Wheaton, IL 60187-5813

Mailing address

109 S Blanchard St
Wheaton, IL 60187-5813
Phone (630) 205-8294

Other providers in Wheaton, IL

All providers in Wheaton, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.