Provider Demographics
NPI:1679459606
Name:MILLER, MELISSA RAYE (BSW, MA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RAYE
Last Name:MILLER
Suffix:
Gender:F
Credentials:BSW, MA
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:RAYE
Other - Last Name:MCLACHLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6800 NORMAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-6828
Mailing Address - Country:US
Mailing Address - Phone:308-258-4610
Mailing Address - Fax:
Practice Address - Street 1:6800 NORMAL BLVD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-6828
Practice Address - Country:US
Practice Address - Phone:308-258-4610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-1923101YA0400X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)