Provider Demographics
NPI:1245889823
Name:MONTROND, MELANY D (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:MELANY
Middle Name:D
Last Name:MONTROND
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 TAUNTON AVE UNIT 1206
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-7066
Mailing Address - Country:US
Mailing Address - Phone:528-813-2928
Mailing Address - Fax:
Practice Address - Street 1:80 WASHINGTON ST STE D25
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1743
Practice Address - Country:US
Practice Address - Phone:508-813-2928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MALICSW11307161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker