Provider Demographics
NPI:1356517783
Name:MELAHN, JOHN THOMAS (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:THOMAS
Last Name:MELAHN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:15 KENTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SUCCASUNNA
Mailing Address - State:NJ
Mailing Address - Zip Code:07876-1405
Mailing Address - Country:US
Mailing Address - Phone:201-317-9457
Mailing Address - Fax:973-541-1706
Practice Address - Street 1:40 BALDWIN RD STE 5
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2986
Practice Address - Country:US
Practice Address - Phone:973-316-6077
Practice Address - Fax:973-541-1706
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC047372001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical