| Dr. Melody Midoneck, Dsw, Lcsw, Llc | |
|
9833 Halston Mnr Boynton Beach FL 33473-4977 | |
| (732) 490-8136 | |
| Not Available |
| Full Name | Dr. Melody Midoneck, Dsw, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9833 Halston Mnr, Boynton Beach, Florida |
| Authorized Official Name and Position | Melody Midoneck (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7324908136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Melody Midoneck, Dsw, Lcsw, Llc 9833 Halston Mnr Boynton Beach FL 33473-4977 Ph: (732) 490-8136 | Dr. Melody Midoneck, Dsw, Lcsw, Llc 9833 Halston Mnr Boynton Beach FL 33473-4977 Ph: (732) 490-8136 |
| NPI Number | 1043780398 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 2567704190 |
|---|---|
| Medicare Enrollment ID | O20190501002842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043780398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melody Midoneck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326130386 PECOS PAC ID: 7618219148 Enrollment ID: I20190501003098 |
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