Provider Demographics
NPI:1649565094
Name:ZUBER, MELISSA LYNN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:LYNN
Last Name:ZUBER
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARUEEN
Other - Last Name:OSTROFSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LICSW
Mailing Address - Street 1:207 N 60TH AVE E
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55804
Mailing Address - Country:US
Mailing Address - Phone:218-591-6912
Mailing Address - Fax:
Practice Address - Street 1:320 W 2ND ST 5W
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802
Practice Address - Country:US
Practice Address - Phone:218-726-2497
Practice Address - Fax:218-733-3079
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN191761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical