Provider Demographics
NPI:1174802524
Name:MAJNARICH, MELISA (LICSW LW 60185668)
Entity type:Individual
Prefix:
First Name:MELISA
Middle Name:
Last Name:MAJNARICH
Suffix:
Gender:F
Credentials:LICSW LW 60185668
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-789-9297
Mailing Address - Fax:509-444-0488
Practice Address - Street 1:930 N MONROE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-789-9297
Practice Address - Fax:509-444-0488
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 601856681041C0700X, 103TC1900X
WA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling