Individual
MS. FATIMA MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
474 WARREN AVE, EAST PROVIDENCE, RI 02914-3859
(401) 435-5809
Mailing address
474 WARREN AVE, EAST PROVIDENCE, RI 02914-3859
(401) 435-5809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00378
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203483
BLUE CHIP OF RHODE ISLAND
RI
01
—
32092
BLUE CROSS BLUE SHIELD
RI
01
—
6212318
UNITED BEHAVIORAL HEALTH
RI
Enumeration date
03/07/2007
Last updated
07/08/2007
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