Individual
MELISSA D'ANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(256) 258-9211
Mailing address
153 HARDIMAN PLACE LN, MADISON, AL 35756-4063
(256) 258-9211
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4591G
AL
1041C0700X
Clinical Social Worker
Primary
5263C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
01/03/2019
Last updated
03/09/2023
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