Provider Demographics
NPI:1639646888
Name:VARCARDIPONI, MELISA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:MELISA
Middle Name:ANN
Last Name:VARCARDIPONI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 FAWNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3242
Mailing Address - Country:US
Mailing Address - Phone:908-399-7421
Mailing Address - Fax:
Practice Address - Street 1:17 WOODPORT RD STE 2C
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2415
Practice Address - Country:US
Practice Address - Phone:908-291-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC051975001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical