Provider Demographics
NPI:1467580480
Name:MELZER, ARDEN E (DSW, LCSW, BCD)
Entity Type:Individual
Prefix:DR
First Name:ARDEN
Middle Name:E
Last Name:MELZER
Suffix:
Gender:M
Credentials:DSW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:GRAYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15337-0120
Mailing Address - Country:US
Mailing Address - Phone:724-627-7771
Mailing Address - Fax:724-499-5306
Practice Address - Street 1:59 S WASHINGTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-2035
Practice Address - Country:US
Practice Address - Phone:724-627-7771
Practice Address - Fax:724-499-5306
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW002352L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAXXXXX 1962OtherUNITED BEHAVIORAL HEALTH
PA001704613OtherHIGHMARK
PA410738OtherUPMC COMMUNITY CARE