Provider Demographics
NPI:1790489052
Name:DANNEMILLER, MELISSA HANEY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:HANEY
Last Name:DANNEMILLER
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 1:177 REDBUD DR
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:VA
Mailing Address - Zip Code:23093-5717
Mailing Address - Country:US
Mailing Address - Phone:434-906-0640
Mailing Address - Fax:
Practice Address - Street 1:7424 BROCK RD
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-2002
Practice Address - Country:US
Practice Address - Phone:540-582-3980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040151011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical