Provider Demographics
NPI:1043105984
Name:COONEY, MELISSA S (LSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:COONEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2058
Mailing Address - Country:US
Mailing Address - Phone:717-440-4377
Mailing Address - Fax:717-440-4377
Practice Address - Street 1:401 DIVISION ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2058
Practice Address - Country:US
Practice Address - Phone:717-782-4349
Practice Address - Fax:717-782-4349
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW142888104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker