Provider Demographics
NPI:1750738282
Name:GENOVESE, MELISSA (MSW)
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:
Last Name:GENOVESE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 BEACON ST
Mailing Address - Street 2:APT. 4
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3143
Mailing Address - Country:US
Mailing Address - Phone:617-396-7720
Mailing Address - Fax:
Practice Address - Street 1:70 EVERETT AVE
Practice Address - Street 2:SUITE 515
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2376
Practice Address - Country:US
Practice Address - Phone:617-466-6650
Practice Address - Fax:617-884-3916
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical