Clinical Social Work Corporation of Califronia

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA

Practice address

13902 Fiji Way Apt 119
Marina del Rey, CA 90292-6922

Phone

(909) 515-3698

NPI assigned

Sep 26, 2023

Organization subpart

No

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

Authorized official

Name

Melinda G Drake, LCSW, LISW CP & APNPI 1568593168

Title

Ceo

Phone

(803) 331-0865

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Melinda Geremillo Drake, LISW-CP AND AP, LCSW

  • Clinical Social Worker
  • Temecula, CA
  • NPI 1568593168
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1194504480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY # 1011",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "909-515-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13902 FIJI WAY APT 119",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926922",
            "telephone_number": "909-515-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SOCIAL WORK CORPORATION OF CALIFRONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-331-0865",
        "authorized_official_credential": "LCSW, LISW CP & AP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J. Chung, MD
• Kimberly Chyu, DDS
• Erica Lesley Clayton, CRNA
• Clear Medical Inc.
• Veronica Christiana Cleary, CADC-II, LMFT
• Jeffrey Michael Colbert, M.D.
• Annette Comerchero
• Commons Clinic Medical Group, PC
• Commons Clinic Medical Network, PC
• Kira Conde

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.