Alicia Melgoza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

82510 Issued in CA

Practice address

20212 Redwood Rd Ste 104
Castro Valley, CA 94546-4375

Phone

(510) 431-8871

NPI assigned

Jun 13, 2016

Last updated

Oct 12, 2018By 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

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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1023468857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PROSPERITY WAY",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781125",
            "telephone_number": "510-431-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 104",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464375",
            "telephone_number": "510-431-8871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Estudillo Ave",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774611",
            "country_code": "US",
            "telephone_number": "510-352-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELGOZA",
        "first_name": "ALICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Castro Valley, CA
• Providers in Castro Valley, 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 Oct 12, 2018; 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.