Fisher, Melanie L

Fisher, Melanie L is an sole proprietor health care provider with primary practice located at 125 S Swoope Ave Ste 110 , Maitland FL 32751-5784. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fisher, Melanie L can be contacted via phone (407) 622-0444.

Contact Information

Primary practice address
125 S Swoope Ave Ste 110 Maitland FL 32751-5784
Phone: (407) 622-0444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW8840 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8840 Florida

Profile Details

NPI number 1366627705
LBN Legal business name Fisher, Melanie L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2008
Last updated May 29th, 2024 - about 2 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 1366627705 NPPES
Florida MEDICAID 122178400

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