Doctor Name: | MELISSA STOFFA |
NPI Number: | 1598806630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 30721 |
Business Practice Address: | 87 Duncan Ave Cornwall On Hudson, NY - 125201409 |
Business Phone Number: | 8455346814 |
Business Fax Number: | |
Mailing Address: | 87 Duncan Ave, CORNWALL ON HUDSON |
State: | NY |
Postal Code: | 125201409 |
Phone Number: | 8455346814 |
Fax Number: | |
NPI Enumeration Date: | 02/10/2007 |
NPI Last Update Date: | 03/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 30721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |