Melisa Pena

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW140678 Issued in CA

Practice address

3605 Vista Way
Oceanside, CA 92056-4565

Phone

(760) 758-1480

NPI assigned

Jul 12, 2019

Last updated

Oct 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1174175814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 VISTA WAY STE 258",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564565",
            "telephone_number": "160-758-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564565",
            "telephone_number": "760-758-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Valpreda Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920692973",
            "country_code": "US",
            "telephone_number": "760-736-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA",
        "first_name": "MELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2026-10-18",
        "certification_date": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW140678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alora Mae Madison Pecoraro, RN
• Amanda Pedersen
• Fahimeh Peifer, LCSW
• Ivan Pena
• Maribel Pena
• Marina Tiffany Pender, OTR
• Robert Brian Pendleton, MD PHD
• Emily C Penner, RN
• Jennifer Ann Pennington, MPT
• Jan R Penvose-Yi, MD

• Clinical Social Worker in Oceanside, CA
• Providers in Oceanside, 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 18, 2026; 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.