TTM Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TTM LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

16133 Ventura Blvd Ste 1125
Encino, CA 91436-2424

Phone

(818) 522-6212

NPI assigned

Mar 29, 2020

Organization subpart

No

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

Authorized official

Name

Tatiana Melendez, MA, MSW, LCSWNPI 1205452539

Title

President/ Ceo

Phone

(310) 490-1968

Specialties & licenses 1

Addresses

Other names 1

• TTM Counseling & Psychotherapy Services Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tatiana T. Melendez, MA, MSW, LCSW

  • Clinical Social Worker
  • Encino, CA
  • NPI 1205452539
  NPD Authorized official

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1104454966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19360 RINALDI ST # 141",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261607",
            "telephone_number": "310-490-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD STE 1125",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362424",
            "telephone_number": "818-522-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTM LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "310-490-1968",
        "authorized_official_credential": "MA, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tatianamlcsw@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16133 Ventura Blvd Ste 1125",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914362424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TTM Counseling & Psychotherapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Troy D. Goldberg, MD, PC
• Trusted Hospice Care
• John S Tsakonas, M.D.
• Bich Tina Tsan, LAC
• Evgeny I Tsimerinov, M.D., PH.D.
• Melanie Marilyn Tucker
• Erik Tukey
• Cheryl Turner
• Harold James Turner, HAROLD
• Tiffanie Turner, LMFT

• Clinical Social Worker in Encino, CA
• Providers in Encino, 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 Mar 29, 2020; 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.