Provider Demographics
NPI:1831984442
Name:MELGAR, ADRIANNA SOPHIA (LCDP, CADC)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:SOPHIA
Last Name:MELGAR
Suffix:
Gender:
Credentials:LCDP, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ELENA ST APT 611
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-4388
Mailing Address - Country:US
Mailing Address - Phone:401-744-0865
Mailing Address - Fax:
Practice Address - Street 1:45 ROYAL LITTLE DR
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-1882
Practice Address - Country:US
Practice Address - Phone:401-445-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP01038101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)