Provider Demographics
NPI:1417072125
Name:CLIFFORD, MELANIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:CAMERATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 3926
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-8926
Mailing Address - Country:US
Mailing Address - Phone:516-987-4200
Mailing Address - Fax:800-297-0976
Practice Address - Street 1:3281 LONG PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2707
Practice Address - Country:US
Practice Address - Phone:877-931-4518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical