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Melanie Elaine Louis Consolino, LLMSW

Social Worker, Clinical in Vicksburg, MI. Individual provider (NPI-1).

NPI number1669139986
StatusActive
Last updated in NPPESNov 22, 2021

Details

NPI
1669139986
Entity type
Individual (NPI-1)
Name
Melanie Elaine Louis Consolino
Credential
LLMSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2021
Certification date
Nov 22, 2021
Last updated
Nov 22, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical6801101824MIYes

Practice location

10633 S 27th St
Vicksburg, MI 49097-9423

Phone 269-967-2761 · Fax 269-552-5586

Mailing address

1606 S Burdick St
Kalamazoo, MI 49001-2712

Phone 269-552-3440 · Fax 269-552-5586

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Vicksburg, MI

All 5 Clinical Social Worker providers in Vicksburg · All 91 providers in Vicksburg

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