Provider Demographics
NPI:1285098913
Name:GRAVES-CLAPP, MELISSA (LLMSW)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:GRAVES-CLAPP
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 CHRYSLER SERVICE DRIVE
Mailing Address - Street 2:STE. 1A
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201
Mailing Address - Country:US
Mailing Address - Phone:313-993-3964
Mailing Address - Fax:313-993-3974
Practice Address - Street 1:3901 CHRYSLER SERVICE DRIVE
Practice Address - Street 2:STE. 1A
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201
Practice Address - Country:US
Practice Address - Phone:313-993-3964
Practice Address - Fax:313-993-3974
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)