Provider Demographics
NPI:1508524356
Name:OAKLEY, MELISSA A (LMSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:OAKLEY
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 1:3606 WATKINS RD
Mailing Address - Street 2:
Mailing Address - City:PINE VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14872-9745
Mailing Address - Country:US
Mailing Address - Phone:607-742-6952
Mailing Address - Fax:
Practice Address - Street 1:3805 MEADS CREEK RD # POST
Practice Address - Street 2:
Practice Address - City:PAINTED POST
Practice Address - State:NY
Practice Address - Zip Code:14870-9509
Practice Address - Country:US
Practice Address - Phone:607-962-3100
Practice Address - Fax:607-942-4300
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093776104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker