Organization Active NPI

Heale, a Professional Licensed Clinical Social Work Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Modesto, CA
National Provider Identifier
1346908167
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALE, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORK CORPORATION
Practice address
3425 Coffee Rd
Modesto, CA 95355-1582
Phone
(209) 567-2259
NPI assigned
Nov 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Ms. Melissa Hale, LCSW
Title
President
Phone
(209) 450-8037

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3425 Coffee Rd
Modesto, CA 95355-1582

Mailing address

3848 McHenry Ave Ste 135-123
Modesto, CA 95356-1586
Phone (209) 450-8037

Other practice location 1

3848 McHenry Ave Ste 135-123
Modesto, CA 95356-1586
Phone (209) 450-8037

Other identifiers 3

IdentifierTypeStateIssuer
1346908167MedicaidCA
1700125705MedicaidCA
1720736374MedicaidCA

Other names 1

  • Heale Doing business as

National Provider Directory

National Provider Directory

Locations

3848 McHenry Ave
Ste 135123
Modesto, CA 95356
Phone (209) 450-8037

3425 Coffee Rd
Modesto, CA 95355
Phone (209) 522-9568

420 Downey Ave
Modesto, CA 95354
Phone (209) 345-3089

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1346908167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 MCHENRY AVE STE 135-123",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561586",
            "telephone_number": "209-450-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551582",
            "telephone_number": "209-567-2259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3848 McHenry Ave Ste 135-123",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953561586",
            "country_code": "US",
            "telephone_number": "209-450-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALE, A PROFESSIONAL LICENSED CLINICAL SOCIAL WORK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-450-8037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346908167",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700125705",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720736374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.