Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MELISSA FAYE MORAN, LICSW
Active Sole ProprietorMS. MELISSA FAYE MORAN, LICSW is a Clinical Social Worker healthcare provider located in STACY, Minnesota. NPI 1457693962 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · STACY, MN
Registration Details
- NPI Number
- 1457693962
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2013 (13.410406267266 yrs)
- Last Updated
- Mar 22, 2013
- License
-
18211 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22625 E MARTIN LAKE DR NESTACY, MN, 550799376Browse MN providers · Browse ZIP 55079
- Phone
- 6514620647
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.