Provider Demographics
NPI:1750668943
Name:NABERHAUS, MELISSA RENE' (LISW)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:RENE'
Last Name:NABERHAUS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:RENE'
Other - Last Name:NABERHAUS-FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1856 CEDAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4178
Mailing Address - Country:US
Mailing Address - Phone:740-687-4500
Mailing Address - Fax:740-687-4500
Practice Address - Street 1:1856 CEDAR HILL RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-4178
Practice Address - Country:US
Practice Address - Phone:740-687-4500
Practice Address - Fax:740-687-4500
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00086421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical