Melissa L. Ealba, Licensed Clinical Social Worker, a Professional Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MELISSA L. EALBA, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORP

Practice address

1343 N Grand Ave Ste 210
Covina, CA 91724-4043

Phone

(626) 991-5010

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Melissa L Ealba

Title

Group Owner

Phone

(626) 991-5010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1376315986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N GRAND AVE STE 210",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N GRAND AVE STE 210",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244043",
            "telephone_number": "626-991-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA L. EALBA, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "EALBA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GROUP OWNER",
        "authorized_official_telephone_number": "626-991-5010"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Michele Melendez
• Javier Melendez
• Pablo Melendez, BA
• Daniel Melgarejo
• Nayeli Melgoza
• Kaitlyn Jacqueline Melville
• Patricia Melville
• Jasmin V Mena
• Micah Mendenhall
• Nancy Mendez Reyes

• Mental Health Counselor in Covina, CA
• Providers in Covina, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.