| Melissa D Fein Licsw Pllc | |
| 
					94 Little Island Rd Falmouth MA 02540  | |
| (617) 402-5589 | |
| Not Available | 
| Full Name | Melissa D Fein Licsw Pllc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 94 Little Island Rd, Falmouth, Massachusetts | 
| Authorized Official Name and Position | Melissa Fein (PRESIDENT) | 
| Authorized Official Contact | 6174025589 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Melissa D Fein Licsw Pllc Po Box 837 West Falmouth MA 02574-0837 Ph: (617) 402-5589  | Melissa D Fein Licsw Pllc 94 Little Island Rd Falmouth MA 02540 Ph: (617) 402-5589  | 
| NPI Number | 1528806338 | 
|---|---|
| Provider Enumeration Date | 07/16/2024 | 
| Last Update Date | 07/16/2024 | 
| Certification Date | 07/16/2024 | 
| Medicare PECOS PAC ID | 8921546011 | 
|---|---|
| Medicare Enrollment ID | O20240820004548 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528806338 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Melissa Fein | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1639535552 PECOS PAC ID: 5193068021 Enrollment ID: I20190516002464  | 
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