Provider Demographics
NPI:1972393411
Name:CONCHIERI, MELISSA D (LICSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:D
Last Name:CONCHIERI
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:
Other - Last Name:CONCHIERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05601-0647
Mailing Address - Country:US
Mailing Address - Phone:802-479-0012
Mailing Address - Fax:802-479-4095
Practice Address - Street 1:579 S BARRE RD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-8107
Practice Address - Country:US
Practice Address - Phone:802-479-0012
Practice Address - Fax:802-476-6445
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01365121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical