Provider Demographics
NPI:1730415001
Name:CROWLEY, MELANIE JUNE (LICSW, LADC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:JUNE
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:LICSW, LADC
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:JUNE
Other - Last Name:PAVAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 KILBURN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-7321
Mailing Address - Country:US
Mailing Address - Phone:508-979-1122
Mailing Address - Fax:508-979-1126
Practice Address - Street 1:8 KILBURN ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-7321
Practice Address - Country:US
Practice Address - Phone:508-979-1122
Practice Address - Fax:508-979-1126
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)