Rodriguez, Melissa

Rodriguez, Melissa is an individual health care provider with primary practice located at 4900 Broadway , Gary IN 46408-4605. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Rodriguez, Melissa can be contacted via phone (219) 237-5170.

Contact Information

Primary practice address
4900 Broadway Gary IN 46408-4605
Phone: (219) 237-5170
Fax: (219) 321-1931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 33006355A Indiana

Profile Details

NPI number 1083958920
LBN Legal business name Rodriguez, Melissa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Sep 4th, 2020 - about 6 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 1083958920 NPPES
Indiana MEDICAID 100163580

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