Provider Demographics
NPI:1417759895
Name:ORSINI-RUIZ, MELISSA ANN (CAC-AD CADC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:ORSINI-RUIZ
Suffix:
Gender:
Credentials:CAC-AD CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 W BEL AIR AVE # B
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2236
Mailing Address - Country:US
Mailing Address - Phone:410-273-1030
Mailing Address - Fax:
Practice Address - Street 1:780 W BEL AIR AVE # B
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-2236
Practice Address - Country:US
Practice Address - Phone:410-273-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MDAC3315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)