Provider Demographics
NPI:1366238032
Name:MALTER, MELISSA HOPE (LSW)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:HOPE
Last Name:MALTER
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2301
Mailing Address - Street 2:PMB-319
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498
Mailing Address - Country:US
Mailing Address - Phone:408-455-8609
Mailing Address - Fax:
Practice Address - Street 1:330 FIEDLER AVE STE 207
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:CO
Practice Address - Zip Code:80435-6930
Practice Address - Country:US
Practice Address - Phone:408-455-8609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009925252104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker