Provider Demographics
NPI:1851418909
Name:BAIRD, MELANIE ELIZABETH (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ELIZABETH
Last Name:BAIRD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:ELIZABETH
Other - Last Name:SEMAAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:211 TOWER DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1023
Mailing Address - Country:US
Mailing Address - Phone:248-939-3545
Mailing Address - Fax:
Practice Address - Street 1:25200 TELEGRAPH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2543
Practice Address - Country:US
Practice Address - Phone:248-351-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074740-1104100000X
MI68010922071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical