Provider Demographics
NPI:1417072125
Name:CLIFFORD, MELANIE (LICSW)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:CAMERATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:38 KEEHER AVE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2320
Mailing Address - Country:US
Mailing Address - Phone:203-500-2302
Mailing Address - Fax:
Practice Address - Street 1:3285 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1469
Practice Address - Country:US
Practice Address - Phone:203-500-2302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical