Melissa Ellison, is a
Social Worker - Clinical based in Burlingame, California. Melissa Ellison is licensed to practice in California (license number LCSW82761) and her current practice location is
1501 Trousdale Dr, Burlingame, California. She can be reached at her office (for appointments etc.) via phone at
(650) 652-8720.
NPI number for Melissa Ellison is 1609252345 and her current mailing address is 325 Distel Cir, Los Altos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609252345.
Healthcare Provider's Profile
| Full Name | Melissa Ellison |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1501 Trousdale Dr, Burlingame, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609252345
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 06/23/2020
Medical Identifiers
Medical identifiers for Melissa Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609252345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW82761 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Ellison is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Melissa Ellison,
325 Distel Cir,
Los Altos, CA 94022-1408
Ph: (650) 652-8720 | Melissa Ellison,
1501 Trousdale Dr,
Burlingame, CA 94010-4506
Ph: (650) 652-8720 |
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