Provider Demographics
NPI:1427765965
Name:PUTRELO, MELINDA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:
Last Name:PUTRELO
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 OXFORD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3235
Mailing Address - Country:US
Mailing Address - Phone:315-525-4880
Mailing Address - Fax:
Practice Address - Street 1:1169 PITTSFORD VICTOR RD STE 200
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3814
Practice Address - Country:US
Practice Address - Phone:585-895-6191
Practice Address - Fax:585-895-2770
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical