Provider Demographics
NPI:1992011100
Name:NEEDLEMAN, MELISSA B (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:B
Last Name:NEEDLEMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:B
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:4400 EAST-WEST HIGHWAY
Mailing Address - Street 2:#907
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-657-4329
Mailing Address - Fax:301-657-3250
Practice Address - Street 1:4400 EAST-WEST HIGHWAY
Practice Address - Street 2:#907
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-657-4329
Practice Address - Fax:301-657-3250
Is Sole Proprietor?:No
Enumeration Date:2010-08-25
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD162671041C0700X
DCLC500790831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical