| Melissa B Callaham Lcsw Pa | |
|
900 Se Ocean Blvd Ste D130 Stuart FL 34994-3503 | |
| (772) 204-5260 | |
| Not Available |
| Full Name | Melissa B Callaham Lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 900 Se Ocean Blvd Ste D130, Stuart, Florida |
| Authorized Official Name and Position | Melissa B Callaham (OWNER/PROVIDER) |
| Authorized Official Contact | 7722045260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa B Callaham Lcsw Pa 900 Se Ocean Blvd Ste D130 Stuart FL 34994-3503 Ph: () - | Melissa B Callaham Lcsw Pa 900 Se Ocean Blvd Ste D130 Stuart FL 34994-3503 Ph: (772) 204-5260 |
| NPI Number | 1639700651 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Medicare PECOS PAC ID | 7618398652 |
|---|---|
| Medicare Enrollment ID | O20200601000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639700651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa B Callaham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528528056 PECOS PAC ID: 8527489566 Enrollment ID: I20200911002528 |
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