Provider Demographics
NPI:1770038473
Name:MELISSA K HAMLETT LICSW
Entity Type:Organization
Organization Name:MELISSA K HAMLETT LICSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAMLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-496-2852
Mailing Address - Street 1:255 MOSES CLARK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANDAFF
Mailing Address - State:NH
Mailing Address - Zip Code:03585-5102
Mailing Address - Country:US
Mailing Address - Phone:603-496-2852
Mailing Address - Fax:
Practice Address - Street 1:32 MAIN ST
Practice Address - Street 2:SUITE 108
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4072
Practice Address - Country:US
Practice Address - Phone:603-496-2852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty