Provider Demographics
NPI:1114995693
Name:ROSKIN, MELANIE CELIA (LCSW)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:CELIA
Last Name:ROSKIN
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 1:150 PROVIDENCE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2208
Mailing Address - Country:US
Mailing Address - Phone:919-403-3888
Mailing Address - Fax:919-419-3135
Practice Address - Street 1:150 PROVIDENCE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2208
Practice Address - Country:US
Practice Address - Phone:919-403-3888
Practice Address - Fax:919-419-3135
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60237OtherBCBSNC
NC60237OtherBCBSNC