Provider Demographics
NPI:1992202477
Name:KAWALEK, MELANIE (LMFT)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:KAWALEK
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WASHINGTON ST # 101LL
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4657
Mailing Address - Country:US
Mailing Address - Phone:775-583-5121
Mailing Address - Fax:
Practice Address - Street 1:129 WASHINGTON ST # 101LL
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-4657
Practice Address - Country:US
Practice Address - Phone:973-264-9423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4353106H00000X
NJ37FI00232900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist