Individual
ANGELA E MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1314 EDWIN MILLER BLVD STE 220, MARTINSBURG, WV 25404-5717
(304) 616-9566
Mailing address
86 HOWARD WATSON CIR, HEDGESVILLE, WV 25427-5271
(304) 671-4215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
BP00946612
WV
1041C0700X
Clinical Social Worker
Primary
DP00946612
WV
Other
Enumeration date
08/25/2021
Last updated
04/16/2026
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