Active NPI
Melissa E Mott, LCSW
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1306251418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108280
- Practice address
- 4500 E Pacific Coast Hwy Ste 320
Long Beach, CA 90804-3271 - Phone
- (925) 282-1778
- Fax
- (415) 296-5299
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 108280 | CA | Primary |
Addresses
Primary practice location
4500 E Pacific Coast Hwy Ste 320
Long Beach, CA 90804-3271
Mailing address
4500 E Pacific Coast Hwy Ste 320
Long Beach, CA 90804-3271
Phone (925) 282-1778
Other practice location 1
17111 Beach Blvd
Huntington Beach, CA 92647-5960
Phone (714) 654-1570
Other practice location 2
1300 S Grand Ave
Santa Ana, CA 92705-4434
Phone (714) 480-6564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108280 | Other | CA | LCSW |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1306251418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 E PACIFIC COAST HWY STE 320",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043271",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E PACIFIC COAST HWY STE 320",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043271",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
}
],
"practiceLocations": [
{
"address_1": "17111 Beach Blvd",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926475960",
"country_code": "US",
"telephone_number": "714-654-1570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 S Grand Ave",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927054434",
"country_code": "US",
"telephone_number": "714-480-6564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTT",
"first_name": "MELISSA",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "108280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.