Individual
MELISSA DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
49 SAVOY ST, PROVIDENCE, RI 02906-3417
(617) 840-4340
Mailing address
49 SAVOY ST, PROVIDENCE, RI 02906-3417
(617) 840-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW02900
RI
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536011
MEDI-CAL
CA
Enumeration date
06/29/2009
Last updated
02/18/2025
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