Melanie R Brady, LCSW
Individual provider Active NPI Clinical Social Worker · Arnold, MO
NPI 1962018432 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1962018432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2020016839 (MO)
- Practice address
- 1811 Holiday Valley Dr
Arnold, MO 63010-1946 - Phone
- (309) 824-4744
- NPI assigned
- Sep 21, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020016839 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2020016839 | MO | Yes |
Addresses
Primary practice location
1811 Holiday Valley Dr
Arnold, MO 63010-1946
Mailing address
1811 Holiday Valley Dr
Arnold, MO 63010-1946
Other providers in Arnold, MO
- Gwen Boyd
- Jessica E Boyer
- Bradley Chiropractic LLC
- Shawn Bradley
- Brooke Bradow
- Melissa A Brennan
- Jamie A Brew
- Rachel Briesacher
- Sarah Estellene Brinkmann
- Kristina Brockgreitens
All providers in Arnold, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. 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.