Provider Demographics
NPI:1124042890
Name:MELZER, ROBIN S (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:S
Last Name:MELZER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:S
Other - Last Name:MELZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2660 33RD ST.
Mailing Address - Street 2:SUITE B
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-736-3952
Mailing Address - Fax:916-736-3952
Practice Address - Street 1:2660 33RD ST.
Practice Address - Street 2:SUITE B
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-736-3952
Practice Address - Fax:916-736-3952
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW143261041C0700X
1041C0700X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health