Provider Demographics
NPI:1063846061
Name:MELANIE SWAIN-KNAPP LLC
Entity Type:Organization
Organization Name:MELANIE SWAIN-KNAPP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAIN-KNAPP
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, MED
Authorized Official - Phone:609-774-3368
Mailing Address - Street 1:14 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3919
Mailing Address - Country:US
Mailing Address - Phone:609-774-3368
Mailing Address - Fax:
Practice Address - Street 1:30 MAN MAR DR
Practice Address - Street 2:SUITE 12
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2271
Practice Address - Country:US
Practice Address - Phone:774-203-9611
Practice Address - Fax:508-316-0470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW 1177641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty