Provider Demographics
NPI:1689328460
Name:WOMBWELL-TWERSKY, MELISSA DOWNS
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:DOWNS
Last Name:WOMBWELL-TWERSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-2430
Mailing Address - Country:US
Mailing Address - Phone:215-816-3966
Mailing Address - Fax:
Practice Address - Street 1:8214 FORREST AVE
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2430
Practice Address - Country:US
Practice Address - Phone:215-816-3966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0211031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical