Melinda Jane Berge Echeverria, LCSW
Individual provider Active NPI Clinical Social Worker · Orange, CA
NPI 1003834367 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1003834367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS23319 (CA)
- Practice address
- 1855 W Katella Ave Ste 150
Orange, CA 92867-3432 - Phone
- (714) 399-3480
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110630000634 | CA | Practitioner - Clinical Social Worker | 7517145030 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS23319 | CA | MD | Clinical Social Worker |
| 23319 | CA | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Current | Accepting new patients | |
| College Community Services | Current |
Accepting new patients | |
| College Community Services | Current |
Accepting new patients |
Locations
4281 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (714) 309-0379
16940 Highway 14
Ste Cj
Mojave, CA 93501
Phone (661) 824-5020
1855 W Katella Ave
Ste 150
Orange, CA 92867
Phone (714) 399-3480
8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272
82820 Trona Rd
Trona, CA 93562
Phone (760) 372-4524
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS23319 | CA | Yes |
Addresses
Primary practice location
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Mailing address
1855 W Katella Ave Ste 150
Orange, CA 92867-3432
Phone (714) 399-3480
Other names
- Melinda Jane Berge
Other providers in Orange, CA
- Carolina Daniela Eberhard Veira
- Jasmin Ebid
- Chriselle Mae Nava Ebreo
- Janette Echegaray
- Avianna Echelmeyer
- Yesenia Echeverria
- Jeremy J Eckler
- Veronica Eckstein
- Faith Edano
- Carol Eddy
All providers in Orange, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.