Individual provider · Type 1 NPI
Anthony Mark Melillo, MSW, LICSW
Clinical Social Worker · Bennington, VT
Practice location
504 Main St
Bennington, VT 05201-2111
Mailing address
23 Bradley Street, Anthony M Melillo
North Adams, MA 01247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 089-0001010 (VT) |
| Clinical Social Worker | 1041C0700X | 1024625 (MA) |
| Clinical Social Worker | 1041C0700X | 04-PE-AOOOAJ9 (WI) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1225167984
Anthony Mark Melillo, MSW, LICSW's National Provider Identifier is 1225167984, issued on Mar 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bennington, VT. The record was last updated on Jul 9, 2007.