Provider Demographics
NPI:1437028826
Name:PADILLA, MELISSA MARIE BATISTA (LMSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE BATISTA
Last Name:PADILLA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 WESTFORK WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-2666
Mailing Address - Country:US
Mailing Address - Phone:303-931-1342
Mailing Address - Fax:
Practice Address - Street 1:3008 WESTFORK WAY
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:TX
Practice Address - Zip Code:76082-2666
Practice Address - Country:US
Practice Address - Phone:303-931-1342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112465104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker