Active NPI
Mellissa Marie Depaola, ASW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1215088760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3000 Auburn Blvd
Sacramento, CA 95821-1831 - Phone
- (916) 483-2154
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
3000 Auburn Blvd
Sacramento, CA 95821-1831
Mailing address
2001 Club Center Dr Apt 7107
Sacramento, CA 95835-1408
Phone (916) 622-3002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18373 | Other | CA | ASW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215088760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CLUB CENTER DR APT 7107",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351408",
"telephone_number": "916-622-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958211831",
"telephone_number": "916-483-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPAOLA",
"first_name": "MELLISSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW",
"identifier": "18373",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.