Provider Demographics
NPI:1295748432
Name:MCGEE, MELISSA GRIFFIN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:GRIFFIN
Last Name:MCGEE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1186 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-6640
Mailing Address - Country:US
Mailing Address - Phone:910-814-0909
Mailing Address - Fax:910-814-0915
Practice Address - Street 1:1186 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546
Practice Address - Country:US
Practice Address - Phone:910-814-0909
Practice Address - Fax:910-814-0915
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0028851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002860Medicaid
NC2869478BMedicare ID - Type Unspecified