Doctor Name: | MELISSA A SEWRUK |
NPI Number: | 1639455058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 079026 |
Business Practice Address: | 222 Woodbine Ave East Rochester, NY - 144451860 |
Business Phone Number: | 5852456335 |
Business Fax Number: | 5852486392 |
Mailing Address: | 222 Woodbine Ave, EAST ROCHESTER |
State: | NY |
Postal Code: | 144451860 |
Phone Number: | 5852456335 |
Fax Number: | 5852486392 |
NPI Enumeration Date: | 10/31/2011 |
NPI Last Update Date: | 10/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 079026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |