Provider Demographics
NPI:1750742292
Name:FLAHERTY, MELANIE ROSE (LMSW)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:ROSE
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LOTTIE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-5849
Mailing Address - Country:US
Mailing Address - Phone:914-382-7478
Mailing Address - Fax:
Practice Address - Street 1:21 LOTTIE RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-5849
Practice Address - Country:US
Practice Address - Phone:914-382-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker