Provider Demographics
NPI:1750820973
Name:MUZZUPAPPA, MELISSA MARIE (LISW-CP, LCSW-C, MSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:MUZZUPAPPA
Suffix:
Gender:F
Credentials:LISW-CP, LCSW-C, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16091
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29587-6091
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1304 PROFESSIONAL DR STE E
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5712
Practice Address - Country:US
Practice Address - Phone:438-894-0000
Practice Address - Fax:843-589-9054
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker