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Contact Information

MELINDA P CLARK, LCSW
70 FREEDOM DRIVE
SCOTTSBORO, AL35769
 Phone: 256-574-5508
 Fax: 256-259-2727
 Website: http://www.neahsi.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MELINDA P CLARK · (Female)

NPI Number 1679759146
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 01/15/2008
Last updated 12/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1628C
  • AL Other 51545900 BCBS
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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