Provider Demographics
NPI:1356870406
Name:PASCHKE, MELISSA HOLLY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:HOLLY
Last Name:PASCHKE
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 1:110 1ST PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11231-4618
Mailing Address - Country:US
Mailing Address - Phone:718-781-0363
Mailing Address - Fax:
Practice Address - Street 1:401 COURT ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11231-4103
Practice Address - Country:US
Practice Address - Phone:718-781-0363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-11
Last Update Date:2017-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0696321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical