Provider Demographics
NPI:1932880069
Name:CATO, MELISA (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:MELISA
Middle Name:
Last Name:CATO
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 1:3100 DOUGLAS BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3868
Mailing Address - Country:US
Mailing Address - Phone:916-774-8885
Mailing Address - Fax:916-503-6841
Practice Address - Street 1:3100 DOUGLAS BLVD STE 204
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3868
Practice Address - Country:US
Practice Address - Phone:916-774-8885
Practice Address - Fax:916-503-6841
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty