Provider Demographics
NPI:1285883868
Name:HALE, MELISSA G (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:G
Last Name:HALE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 S VAUGHN WAY
Mailing Address - Street 2:SUITE 505
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3517
Mailing Address - Country:US
Mailing Address - Phone:303-817-2691
Mailing Address - Fax:
Practice Address - Street 1:14135 N. CEDARBURG RD
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53097-1416
Practice Address - Country:US
Practice Address - Phone:262-424-6624
Practice Address - Fax:262-377-5552
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical