MR. CHARLES ALVIN MELICK III LCSW - 37691
NPI 1215344726
Counselor in Idaho Falls, ID

Active since July 16, 2014
2275 W BROADWAY ST, STE. G, IDAHO FALLS, ID 83402(208) 524-7400(208) 524-8004 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Alvin Melick Iii Lcsw - 37691 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES ALVIN MELICK III LCSW - 37691 (NPI 1215344726) is an individual counselor in Idaho Falls, Idaho, licensed in Idaho (LCSW-37691) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1215344726
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. CHARLES ALVIN MELICK IIICredential: LCSW - 37691
Location Address2275 W BROADWAY ST, STE. GIdaho Falls, ID 83402-2902
Mailing Address1885 Gallup StIdaho Falls, ID 83404-5606 · (801) 669-4600
Fax(208) 524-8004
Sole ProprietorYes
Enumeration DateJuly 16, 2014
Last NPPES UpdateApril 3, 2019
NPI 1215344726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in ID · LCSW-37691
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2275 W BROADWAY ST, Idaho Falls, ID 83402

Other Names 1

Other Name (5)Cam Melick

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2275 W BROADWAY ST, STE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST, SUITE G
IDAHO FALLS, ID 83402
Counselor (Addiction (Substance Use Disorder))
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Nurse Practitioner (Adult Health)
2275 W BROADWAY ST, SUITE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST
IDAHO FALLS, ID 83402
Counselor (Professional)
2275 W BROADWAY ST, SUITE C
IDAHO FALLS, ID 83402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Melick's NPI number?

The NPI number for Charles Melick is 1215344726. It was assigned to this individual provider in the NPPES registry on July 16, 2014. The provider is also known as Cam Melick.

Where is Charles Melick located?

Charles Melick practices at 2275 W Broadway St Ste. G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Charles Melick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Charles Melick was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.