Provider Demographics
NPI:1790497956
Name:KURUC, MELISSA COLLEEN (LCSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:COLLEEN
Last Name:KURUC
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:COLLEEN
Other - Last Name:CHANCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:442 WHITMAN LN
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-3214
Mailing Address - Country:US
Mailing Address - Phone:609-738-5327
Mailing Address - Fax:
Practice Address - Street 1:691 US HIGHWAY 130 STE 5
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-2207
Practice Address - Country:US
Practice Address - Phone:609-759-2077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC061536001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical