Melissa Jane Middleman, lcsw
Social Worker, Clinical in Bloomfield, NJ. Individual provider (NPI-1).
NPI number1194761981
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1194761981
- Entity type
- Individual (NPI-1)
- Name
- Ms. Melissa Jane Middleman
- Credential
- lcsw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2006
- Last updated
- Jan 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 44sc04689100 | NJ | Yes |
Practice location
6 Park AveBloomfield, NJ 07003-2656
Phone 862-452-4883
Mailing address
6 Park AveBloomfield, NJ 07003-2656
Phone 862-452-4883
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