Provider Demographics
NPI:1275898256
Name:MELNICK, SCARLETT GEORGETTE (LSW)
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:GEORGETTE
Last Name:MELNICK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14647 WILLY RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16441-3749
Mailing Address - Country:US
Mailing Address - Phone:814-796-6385
Mailing Address - Fax:
Practice Address - Street 1:14647 WILLY RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:PA
Practice Address - Zip Code:16441-3749
Practice Address - Country:US
Practice Address - Phone:814-796-6385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129357104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker