Active NPIIndividual providerSole proprietor

Mary Jo Melloni, LICSW, MSW

Social Worker, School in Tewksbury, Massachusetts

NPI Number1912487729
Practice location
139 Pleasant St, Tewksbury, MA 01876-2725
Fax
—
Last updated
August 21, 2018

Mary Jo Melloni is a Social Worker, School based in Tewksbury, MA. Mary Jo Melloni practices in Tewksbury, MA and has the professional credentials of LICSW, MSW. The NPI Number for Mary Jo Melloni is 1912487729 and holds a License No. 105312 (MA). The current practice location address for Mary Jo Melloni is 139 Pleasant St, Tewksbury, MA 01876-2725 and can be reached out via phone at 978-640-4080.

Provider Profile Details

NPI Number
1912487729
Provider Name
Mary Jo Melloni
Credential
LICSW, MSW
Provider Entity Type
Individual
Gender
Female
Address
139 Pleasant St, Tewksbury, MA 01876-2725
Phone Number
978-640-4080
Primary Taxonomy
Social Worker, School · 1041S0200X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2018
Last Update Date
August 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
139 Pleasant St
Tewksbury, MA 01876-2725
Zip
01876-2725
Phone Number
978-640-4080
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
70 Maureen Dr
Tewksbury, MA 01876-3621
City
Tewksbury
State
MA
Zip
01876-3621
Phone Number
978-851-5834

License Information

License Number
105312
License State
MA
Taxonomy
Social Worker, School · 1041S0200X · 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 Mary Jo Melloni, LICSW, MSW?

The NPI number of Mary Jo Melloni, LICSW, MSW is 1912487729. It was assigned on August 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Mary Jo Melloni, LICSW, MSW?

Mary Jo Melloni, LICSW, MSW is registered under the primary taxonomy Social Worker, School (code 1041S0200X), licensed in MA under license number 105312.

Where does Mary Jo Melloni, LICSW, MSW practice?

The practice location is 139 Pleasant St, Tewksbury, MA 01876-2725. The office can be reached at 978-640-4080 (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 1912487729 directly on the NPPES registry website.

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