Provider Demographics
NPI:1174000244
Name:CELIKOYAR, MELISA GRACE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MELISA
Middle Name:GRACE
Last Name:CELIKOYAR
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 1:68 JAY ST STE 620
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-8362
Mailing Address - Country:US
Mailing Address - Phone:917-543-1011
Mailing Address - Fax:718-852-6921
Practice Address - Street 1:147 FRONT ST STE 212
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1154
Practice Address - Country:US
Practice Address - Phone:917-543-1011
Practice Address - Fax:718-852-6921
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY095218104100000X
NY0905841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker