Costa, Melanie
Costa, Melanie is an sole proprietor health care provider with primary practice located at 2201 Sedgefield Dr , Mount Laurel NJ 08054-1862. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Costa, Melanie can be contacted via phone (856) 359-4455.Contact Information
Primary practice address
2201 Sedgefield Dr
Mount Laurel NJ 08054-1862
Phone: (856) 359-4455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05758700 | New Jersey |
Profile Details
| NPI number | 1013567379 |
|---|---|
| LBN Legal business name | Costa, Melanie |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 18th, 2019 |
| Last updated | Mar 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013567379 | NPPES |
| New Jersey | Other | 44SC05758700 | LICENSE |
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