Provider Demographics
NPI:1891849089
Name:MARRAM, MELISSA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:MARRAM
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 WASHINGTON ST STE F34
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1741
Mailing Address - Country:US
Mailing Address - Phone:508-523-9359
Mailing Address - Fax:
Practice Address - Street 1:80 WASHINGTON ST STE F34
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1741
Practice Address - Country:US
Practice Address - Phone:508-523-9359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1106081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical