Provider Demographics
NPI:1508391772
Name:LINDSAY-BRISBIN, MELANIE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:LINDSAY-BRISBIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CLIFF FALLS CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-8023
Mailing Address - Country:US
Mailing Address - Phone:719-649-0918
Mailing Address - Fax:
Practice Address - Street 1:210 CLIFF FALLS CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-8023
Practice Address - Country:US
Practice Address - Phone:719-649-0918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9929501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical