Davoli, Melissa Dale

Davoli, Melissa Dale is an individual health care provider with primary practice located at 146 Wind Chime Ct , Raleigh NC 27615-6433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Davoli, Melissa Dale can be contacted via phone (919) 389-1878.

Contact Information

Primary practice address
146 Wind Chime Ct Raleigh NC 27615-6433
Phone: (919) 389-1878
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003329 North Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X C003329 North Carolina

Profile Details

NPI number 1053424341
LBN Legal business name Davoli, Melissa Dale
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Aug 30th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053424341 NPPES
North Carolina MEDICAID 6002893

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