Provider Demographics
NPI:1841607157
Name:MCLEAIN, MELANIE NANNETTE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:NANNETTE
Last Name:MCLEAIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6890
Mailing Address - Country:US
Mailing Address - Phone:501-541-2513
Mailing Address - Fax:
Practice Address - Street 1:10 CORPORATE HILL DR STE 330
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-4528
Practice Address - Country:US
Practice Address - Phone:501-954-7470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9479-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical