Provider Demographics
NPI:1578506580
Name:HANDLER, MELISSA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:HANDLER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2204 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5625
Mailing Address - Country:US
Mailing Address - Phone:443-863-7343
Mailing Address - Fax:443-218-0188
Practice Address - Street 1:2204 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5625
Practice Address - Country:US
Practice Address - Phone:443-863-7343
Practice Address - Fax:443-218-0188
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG104871041C0700X
MD134211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical