Provider Demographics
NPI:1730060625
Name:MELISSA SKRZYPCHAK
Entity type:Organization
Organization Name:MELISSA SKRZYPCHAK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:SKRZYPCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:715-571-1132
Mailing Address - Street 1:1144 AVANTI DR
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-7814
Mailing Address - Country:US
Mailing Address - Phone:715-571-1132
Mailing Address - Fax:
Practice Address - Street 1:5303 E JELNICK AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476
Practice Address - Country:US
Practice Address - Phone:715-571-1132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty