Melissa Lynn Vitocruz Gopez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW99276 Issued in CA

Practice address

14600 Sherman Way Ste 100D
Van Nuys, CA 91405-5869

Phone

(818) 374-6901

NPI assigned

Jul 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melissa Vitocruz Gopez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1013560143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20334 PASEO LAS OLIVAS",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264321",
            "telephone_number": "818-425-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 100D",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055869",
            "telephone_number": "818-374-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPEZ",
        "first_name": "MELISSA",
        "middle_name": "LYNN VITOCRUZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW99276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GOPEZ",
            "middle_name": "VITOCRUZ",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Good Peers LLC
• Syrus Goodarzi
• Goodcaredurablemedicalequipment
• Goodhealthkare
• Jalan Goosby
• Jenna Gordon, BCBA
• Sherry Lynn Gordon, REGISTERED DIETITIAN
• Michael Goren, D.D.S.
• Valentina Goren, D.D.S.
• Sofia Gorker, OTR

• Clinical Social Worker in Van Nuys, CA
• Providers in Van Nuys, 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 Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.