Active NPIIndividual providerSole proprietor

Brian R Melanson, MED, LICSW

Social Worker, Clinical in Leverett, Massachusetts

NPI Number1710611652
Practice location
159B Montague RD, Leverett, MA 01054-9762
Fax
—
Last updated
September 6, 2024

Brian Ronald Melanson is a Social Worker, Clinical based in Leverett, MA. Brian Ronald Melanson practices in Leverett, MA and has the professional credentials of MED, LICSW. The NPI Number for Brian Ronald Melanson is 1710611652 and holds a License No. LICSW127225 (MA). The current practice location address for Brian Ronald Melanson is 159B Montague RD, Leverett, MA 01054-9762 and can be reached out via phone at 978-618-0434.

Provider Profile Details

NPI Number
1710611652
Provider Name
Brian Ronald Melanson
Credential
MED, LICSW
Provider Entity Type
Individual
Gender
Male
Address
159B Montague RD, Leverett, MA 01054-9762
Phone Number
978-618-0434
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 15, 2022
Last Update Date
September 6, 2024
Certification Date
September 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
159B Montague RD
Leverett, MA 01054-9762
Zip
01054-9762
Phone Number
978-618-0434
Leverett, MA 01054Get directions →

Provider Business Mailing Address Details

Address
159B Montague RD
Leverett, MA 01054-9762
City
Leverett
State
MA
Zip
01054-9762
Phone Number
978-618-0434

License Information

License Number
LICSW127225
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian R Melanson, MED, LICSW?

The NPI number of Brian R Melanson, MED, LICSW is 1710611652. It was assigned on July 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Brian R Melanson, MED, LICSW?

Brian R Melanson, MED, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW127225.

Where does Brian R Melanson, MED, LICSW practice?

The practice location is 159B Montague RD, Leverett, MA 01054-9762. The office can be reached at 978-618-0434 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710611652 directly on the NPPES registry website.

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