Provider Demographics
NPI:1821766015
Name:FRIERSON, MELANIE KEYES (MSW, LCSW-A)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:KEYES
Last Name:FRIERSON
Suffix:
Gender:F
Credentials:MSW, LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7037 ROMINGER RD
Mailing Address - Street 2:
Mailing Address - City:SUGAR GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:28679-9764
Mailing Address - Country:US
Mailing Address - Phone:828-467-3165
Mailing Address - Fax:
Practice Address - Street 1:8562 NC HIGHWAY 105 S UNIT 102
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7879
Practice Address - Country:US
Practice Address - Phone:828-333-4170
Practice Address - Fax:855-404-4030
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0167761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical