Provider Demographics
NPI:1013521822
Name:MELILLO, ANNA (MSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MELILLO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 S WADSWORTH BLVD UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5141
Mailing Address - Country:US
Mailing Address - Phone:908-229-8613
Mailing Address - Fax:
Practice Address - Street 1:3333 S WADSWORTH BLVD UNIT 201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5141
Practice Address - Country:US
Practice Address - Phone:908-229-8613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical