Provider Demographics
NPI:1205093747
Name:SHELDON, MELISA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MELISA
Middle Name:
Last Name:SHELDON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 STATE ROUTE 36
Mailing Address - Street 2:
Mailing Address - City:BELFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07718-1651
Mailing Address - Country:US
Mailing Address - Phone:973-859-2700
Mailing Address - Fax:732-268-8459
Practice Address - Street 1:569 STATE ROUTE 36
Practice Address - Street 2:
Practice Address - City:BELFORD
Practice Address - State:NJ
Practice Address - Zip Code:07718-1651
Practice Address - Country:US
Practice Address - Phone:973-859-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046758001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical