Provider Demographics
NPI:1972192409
Name:NUNES-HARWITT, MELISSA JILL (LMSW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:JILL
Last Name:NUNES-HARWITT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:JILL
Other - Last Name:HARWITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 SCIENCE PKWY
Mailing Address - Street 2:ENTRANCE C
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4200
Mailing Address - Country:US
Mailing Address - Phone:585-276-6900
Mailing Address - Fax:
Practice Address - Street 1:315 SCIENCE PKWY
Practice Address - Street 2:ENTRANCE C
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4200
Practice Address - Country:US
Practice Address - Phone:585-276-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2023-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY104079363AS0400X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical