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Contact Information

MELISSA D VANCE BLACKWELL, MSW, LCSW
1481 WEST 10TH STREET
INDIANAPOLIS, IN46202
 Phone: 317-554-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MELISSA D VANCE BLACKWELL · (Female)

NPI Number 1073738704
Status Active
Credentials MSW, LCSW
Entity Individual
Enumeration date 04/16/2007
Last updated 10/13/2009 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 33004997A
  • IN License # 34005380A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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