| Brian A. Melcher, Lcsw, Pllc | |
|
1105 S State St Clearfield UT 84015-1818 | |
| (801) 347-1778 | |
| Not Available |
| Full Name | Brian A. Melcher, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1105 S State St, Clearfield, Utah |
| Authorized Official Name and Position | Brian Melcher (LCSW) |
| Authorized Official Contact | 8013471778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian A. Melcher, Lcsw, Pllc 611 W 1635 N Clinton UT 84015-9527 Ph: (801) 347-1778 | Brian A. Melcher, Lcsw, Pllc 1105 S State St Clearfield UT 84015-1818 Ph: (801) 347-1778 |
| NPI Number | 1356690069 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Medicare PECOS PAC ID | 0941451611 |
|---|---|
| Medicare Enrollment ID | O20121107000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356690069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 64413263501 (Utah) | Primary |
| Provider Name | Brian A Melcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558481051 PECOS PAC ID: 1052461431 Enrollment ID: I20090604000640 |
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