Individual provider · Type 1 NPI
Melissa Ann Gallup
Clinical Social Worker · Polacca, AZ
Practice location
Hwy 264 Mpp 388
Polacca, AZ 86042
Mailing address
74 Bunner St
Oswego, NY 13126-3357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 093725 (NY) |
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…
Other clinical social worker providers in Polacca
About NPI 1497265953
Melissa Ann Gallup's National Provider Identifier is 1497265953, issued on Oct 10, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Polacca, AZ. The record was last updated on Sep 10, 2026.