# MELANIE KELSEY LCSW PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497848782
- **Authorized official:** MELANIE KELSEY LCSW (PRESIDENT)
- **Authorized official phone:** (541) 608-6850

## Contact information

- **Practice address:** 955 TOWN CENTRE DR, MEDFORD, OR 97504
- **Practice address phone:** (541) 608-6850
- **Practice address fax:** (541) 608-3880
- **Mailing address:** PO BOX 1632, MEDFORD, OR 97501-0125
- **Mailing address phone:** (541) 608-6850
- **Mailing address fax:** (541) 608-3880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L1985 | OR | Yes |

## Other

- **Enumeration date:** 10/01/2006
- **Last updated:** 10/24/2007