Provider Demographics
NPI:1588945786
Name:MURRAY, MELISSA ANNE (MSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8507 OLD COUNTRY MNR
Mailing Address - Street 2:#309
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2922
Mailing Address - Country:US
Mailing Address - Phone:954-607-7205
Mailing Address - Fax:
Practice Address - Street 1:8507 OLD COUNTRY MNR
Practice Address - Street 2:#309
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2922
Practice Address - Country:US
Practice Address - Phone:954-607-7205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
FLSW183881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist