Provider Demographics
NPI:1003052341
Name:BAILEY-SCHREINER, MELINDA JOANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:JOANNE
Last Name:BAILEY-SCHREINER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 WHISPERING DR N
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3969
Mailing Address - Country:US
Mailing Address - Phone:727-710-0991
Mailing Address - Fax:775-490-4553
Practice Address - Street 1:3333 WHISPERING DR N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3969
Practice Address - Country:US
Practice Address - Phone:727-710-0991
Practice Address - Fax:775-490-4553
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 51961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1950OtherMEDICARE LEGACY PROVIDER NUMBER