Individual provider Active NPI

Megan Kristina Fondren, LCSW

  • Clinical Social Worker
  • Oceanside, CA
National Provider Identifier
1174286223
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW127655 Issued in CA
Practice address
1300 Rancho del Oro Rd
Oceanside, CA 92056-1729
Phone
(404) 317-1573
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CA
Clinical Social Worker 1041C0700X LCSW127655 CA Primary

Addresses

Primary practice location

1300 Rancho del Oro Rd
Oceanside, CA 92056-1729

Mailing address

5064 Via Manos Unit B
Oceanside, CA 92057-4530
Phone (404) 317-1573

Other practice location 1

321 Cassidy St
Oceanside, CA 92054-5314
Phone (404) 317-1573

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250418002171 CA Practitioner - Clinical Social Worker 1456876747 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW127655CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. Current Accepting new patients
Mental Health Systems, Inc. CurrentSince Feb 26, 2025 Accepting new patients
Community Research Foundation Inc Clinical PastSince Oct 1, 2021 Accepting new patients
Community Research Foundation Inc PastSince Oct 1, 2021 Accepting new patients

Locations

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

550 W Vista Way
Ste 407
Vista, CA 92083
Phone (760) 758-1092

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1174286223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5064 VIA MANOS UNIT B",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920574530",
            "telephone_number": "404-317-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RANCHO DEL ORO RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920561729",
            "telephone_number": "404-317-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Cassidy St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545314",
            "country_code": "US",
            "telephone_number": "404-317-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "MEGAN",
        "middle_name": "KRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW127655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.