Provider Demographics
NPI:1558932947
Name:MARINELLI, MELANIE GISELLE (LMSW)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:GISELLE
Last Name:MARINELLI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:GISELLE
Other - Last Name:ESQUILIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:221 BROADWAY APT 3E
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2885
Mailing Address - Country:US
Mailing Address - Phone:516-361-6582
Mailing Address - Fax:
Practice Address - Street 1:221 BROADWAY APT 3E
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2885
Practice Address - Country:US
Practice Address - Phone:516-361-6582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112947104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker