Provider Demographics
NPI:1760553325
Name:HAMILTON, MELANIE JO (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:JO
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LCSW
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 2249
Mailing Address - Street 2:BARKLEY AND ASSOCIATES
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-2249
Mailing Address - Country:US
Mailing Address - Phone:615-895-3977
Mailing Address - Fax:615-895-9219
Practice Address - Street 1:509 CROSSWAY AVE
Practice Address - Street 2:BARKLEY AND ASSOCIATES
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-895-3977
Practice Address - Fax:615-895-9219
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW212104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker