Wladich, Melissa
Wladich, Melissa is an individual health care provider with primary practice located at 1500 Route 88 , Brick NJ 08724-2320. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wladich, Melissa can be contacted via phone (732) 458-1700.Contact Information
Primary practice address
1500 Route 88
Brick NJ 08724-2320
Phone: (732) 458-1700
Fax: (732) 785-9500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05523500 | New Jersey |
Profile Details
| NPI number | 1932581972 |
|---|---|
| LBN Legal business name | Wladich, Melissa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2015 |
| Last updated | Jun 26th, 2015 - about 11 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 | 1932581972 | NPPES |
| New Jersey | MEDICAID | 0029807 |
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