Whalio Doctors

NPI 1003585464

Lisa Melendy, LMSW

Practitioner Clinical Social Worker Meridian, ID

Practice location

Address
82 S Baltic Pl, Meridian, ID 83642-5935
Phone
(732) 272-8187
Mailing address
709 W Bridger Ave, Nampa, ID 83651-1944

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 41110 (ID)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence LMSW-41110 (ID)

Registry record

NPI
1003585464
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Sep 2021
Record last updated
1 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.