Melissa J Landram, LCSW
Social Worker, Clinical in Louisville, KY. Individual provider (NPI-1).
NPI number1457714404
StatusActive
Last updated in NPPESJan 26, 2019
Details
- NPI
- 1457714404
- Entity type
- Individual (NPI-1)
- Name
- Melissa J Landram
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2016
- Last updated
- Jan 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 253835 | KY | Yes |
| 104100000X | Social Worker | 7483 | KY |
Practice location
10300 Brookridge Village Blvd Ste 202Louisville, KY 40291-4474
Phone 502-314-2237 · Fax 844-379-5157
Mailing address
823 Allison AveBardstown, KY 40004-1760
Phone 502-827-4699
Other practice locations
823 Allison Ave
Bardstown, KY 40004-1760
Bardstown, KY 40004-1760
Phone 502-827-4699
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