Provider Demographics
NPI:1164811287
Name:LOMBARDI-PARADA, MELISSA MARI (LCSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARI
Last Name:LOMBARDI-PARADA
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 1:254 SILLS LN
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-4963
Mailing Address - Country:US
Mailing Address - Phone:201-407-8518
Mailing Address - Fax:
Practice Address - Street 1:254 SILLS LN
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-4963
Practice Address - Country:US
Practice Address - Phone:201-407-8518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2020-03-06
Deactivation Date:2015-10-14
Deactivation Code:
Reactivation Date:2020-03-06
Provider Licenses
StateLicense IDTaxonomies
PACW0168371041C0700X
NJ44SC053965001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical