Provider Demographics
NPI:1083932248
Name:NEESON, MELISSA M (LCSW, C-SSWS)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:M
Last Name:NEESON
Suffix:
Gender:F
Credentials:LCSW, C-SSWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2356
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-2356
Mailing Address - Country:US
Mailing Address - Phone:985-542-5455
Mailing Address - Fax:
Practice Address - Street 1:409 W DAKOTA ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2517
Practice Address - Country:US
Practice Address - Phone:985-542-5455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical