Provider Demographics
NPI:1881063733
Name:MELISSA LALONDE MSW, LCSW, LLC
Entity type:Organization
Organization Name:MELISSA LALONDE MSW, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALONDE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-210-4855
Mailing Address - Street 1:7220 W JEFFERSON AVE STE 325
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2027
Mailing Address - Country:US
Mailing Address - Phone:720-210-4855
Mailing Address - Fax:720-306-3491
Practice Address - Street 1:7220 W JEFFERSON AVE STE 325
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2027
Practice Address - Country:US
Practice Address - Phone:720-210-4855
Practice Address - Fax:720-306-3491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-22
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO009929041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty