Provider Demographics
NPI:1366691198
Name:SCHIFFLI, MELISSA K (MSW, LCSW, LMSW-CLIN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:K
Last Name:SCHIFFLI
Suffix:
Gender:F
Credentials:MSW, LCSW, LMSW-CLIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W HIGH ST
Mailing Address - Street 2:BORGESS LEE MEMORIAL
Mailing Address - City:DOWAGIAC
Mailing Address - State:MI
Mailing Address - Zip Code:49047-1943
Mailing Address - Country:US
Mailing Address - Phone:269-783-3077
Mailing Address - Fax:269-783-2009
Practice Address - Street 1:236 SIMPSON AVE
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-4666
Practice Address - Country:US
Practice Address - Phone:574-293-0052
Practice Address - Fax:574-343-1390
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010986661041C0700X
IN34006439A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical