Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kelly Melissa Marciniak

Individual provider Behavior Technician · NPI 1831734235

Mrs. Kelly Melissa Marciniak is a Mental Health Counselor in Middle River, Maryland. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2019

Practice location Address checks out

4 Chelmsford Ct
Middle River, MD 21220-3672
Phone: (443) 838-8636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-19-105378 (MD)

Record details

NPI number1831734235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 10, 2019
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Middle River