Active NPIIndividual provider

Jacqueline Melius, LICSW

Social Worker, Clinical in Tewksbury, Massachusetts

NPI Number1972255081
Practice location
352 Pleasant St, Tewksbury, MA 01876-2743
Fax
—
Last updated
November 5, 2024

Jacqueline Melius is a Social Worker, Clinical based in Tewksbury, MA. Jacqueline Melius practices in Tewksbury, MA and has the professional credentials of LICSW. The NPI Number for Jacqueline Melius is 1972255081 and holds a License No. 128019 (MA). The current practice location address for Jacqueline Melius is 352 Pleasant St, Tewksbury, MA 01876-2743 and can be reached out via phone at 339-226-0432.

Provider Profile Details

NPI Number
1972255081
Provider Name
Jacqueline Melius
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
352 Pleasant St, Tewksbury, MA 01876-2743
Phone Number
339-226-0432
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 20, 2022
Last Update Date
November 5, 2024
Certification Date
November 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
352 Pleasant St
Tewksbury, MA 01876-2743
Zip
01876-2743
Phone Number
339-226-0432
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
352 Pleasant St
Tewksbury, MA 01876-2743
City
Tewksbury
State
MA
Zip
01876-2743
Phone Number
339-226-0432
Fax Number
415-481-4318

License Information

License Number (1)
128019
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
227284
License State (2)
MA
Taxonomy (2)
Social Worker · 104100000X

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 Jacqueline Melius, LICSW?

The NPI number of Jacqueline Melius, LICSW is 1972255081. It was assigned on January 20, 2022 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Melius, LICSW?

Jacqueline Melius, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 128019.

Where does Jacqueline Melius, LICSW practice?

The practice location is 352 Pleasant St, Tewksbury, MA 01876-2743. The office can be reached at 339-226-0432 (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 1972255081 directly on the NPPES registry website.

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