Provider Demographics
NPI:1013410026
Name:METCALF, MELODY (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:MELODY
Middle Name:
Last Name:METCALF
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:MELODY
Other - Middle Name:JOY
Other - Last Name:METCALF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:3825 E CAMELBACK RD UNIT 151
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3825 E CAMELBACK RD UNIT 151
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2645
Practice Address - Country:US
Practice Address - Phone:928-308-2095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker