Provider Demographics
NPI:1649419110
Name:BRADY, MELISSA ANNE (MSW, LICSW, CSW-G)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:BRADY
Suffix:
Gender:F
Credentials:MSW, LICSW, CSW-G
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HUTCHINSON DR
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3748
Mailing Address - Country:US
Mailing Address - Phone:978-825-5483
Mailing Address - Fax:978-739-6950
Practice Address - Street 1:1 HUTCHINSON DR
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3748
Practice Address - Country:US
Practice Address - Phone:978-825-5483
Practice Address - Fax:978-739-6950
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1134421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical