Provider Demographics
NPI:1154312015
Name:KAPPELL, MELINDA L (LISW-S)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:L
Last Name:KAPPELL
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N LIMESTONE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45501-5001
Mailing Address - Country:US
Mailing Address - Phone:937-390-2121
Mailing Address - Fax:
Practice Address - Street 1:150 N LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45501-5001
Practice Address - Country:US
Practice Address - Phone:937-390-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1451023-SUPV1041C0700X
OHS00272111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical