Melinda Jane Berge Echeverria, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23319 Issued in CA

Practice address

1855 W Katella Ave Ste 150
Orange, CA 92867-3432

Phone

(714) 399-3480

NPI assigned

Jul 17, 2006

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Melinda Jane Berge Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• College Community Services

  dba AMHS Clarvida Anaheim Adult Behavioral Health Outpatient Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1043354624
  Medicare reassignment NPD
• College Community Services

  dba Clarvida

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1346452190
  NPD
• College Community Services

  dba Clarvida

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1003834367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673432",
            "telephone_number": "714-399-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W KATELLA AVE STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673432",
            "telephone_number": "714-399-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "MELINDA",
        "middle_name": "JANE BERGE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-09-16",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "BERGE",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolina Daniela Eberhard Veira, LCSW
• Jasmin Ebid, FNP
• Chriselle Mae Nava Ebreo, M.D.
• Janette Echegaray
• Avianna Echelmeyer
• Yesenia Echeverria
• Jeremy J Eckler
• Veronica Eckstein
• Faith Edano
• Carol Eddy, MA, MFT

• Clinical Social Worker in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.