Individual provider Active NPI

Melissa Martina Rodriguez, LCSW

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1225513187
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
130439 Issued in CA
Practice address
325 W Hospitality LN Ste 112
San Bernardino, CA 92408-3211
Phone
(909) 522-4656
Fax
(909) 763-5525
NPI assigned
Sep 26, 2018
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 130439 CA
Clinical Social Worker 1041C0700X 130439 CA Primary

Addresses

Primary practice location

325 W Hospitality LN Ste 112
San Bernardino, CA 92408-3211

Mailing address

325 W Hospitality LN Ste 112
San Bernardino, CA 92408-3211
Phone (909) 522-4656

Other practice location 1

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400
Phone (951) 674-9243 ext. 6411

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

State licenses

LicenseStateTypeSpecialty
130439CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Community Support Services, Inc PastSince Apr 27, 2025 Accepting new patients
Victor Community Support Services, Inc. PastSince Mar 1, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1225513187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083211",
            "telephone_number": "909-522-4656",
            "fax_number": "909-763-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083211",
            "telephone_number": "909-522-4656",
            "fax_number": "909-763-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 San Jacinto River Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304400",
            "country_code": "US",
            "telephone_number": "951-674-9243 x6411",
            "fax_number": "951-674-9635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MELISSA",
        "middle_name": "MARTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "130439",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "130439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.