Individual provider Active NPI

Marissa Melhuse, LCSW

  • Clinical Social Worker
  • San Clemente, CA
National Provider Identifier
1245096379
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW139209 Issued in CA
Practice address
101 W Marquita Apt 29
San Clemente, CA 92672-4728
Phone
(949) 867-9942
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW139209 CA Primary

Addresses

Primary practice location

101 W Marquita Apt 29
San Clemente, CA 92672-4728

Mailing address

101 W Marquita Apt 29
San Clemente, CA 92672-4728
Phone (949) 867-9942

Other names 1

  • Marissa Gunal Former name

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
ASW120623CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1245096379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MARQUITA APT 29",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724728",
            "telephone_number": "949-867-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MARQUITA APT 29",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724728",
            "telephone_number": "949-867-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELHUSE",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW139209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "GUNAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

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