Active NPI
Melissa Medina
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1467826222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW86730
- Practice address
- 100 Pine St
Suite 1250 (Private Office 3)
San Francisco, CA 94111-5102 - Phone
- (833) 351-8255
- NPI assigned
- Nov 17, 2015
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW86730 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 34011168A | IN | |
| Mental Health Counselor | 101YM0800X | ASW67931 | CA | |
| Clinical Social Worker | 1041C0700X | I.2405368 | OH | |
| Clinical Social Worker | 1041C0700X | 12946-C | NV |
Addresses
Primary practice location
100 Pine St
Suite 1250 (Private Office 3)
San Francisco, CA 94111-5102
Mailing address
3340 W 83Rd St
Inglewood, CA 90305-1741
Phone (833) 351-8255
Other practice location 1
800 N High St
Columbus, OH 43215-1430
Phone (323) 205-7088
Other practice location 2
1 W Winter St
Suite 200, private office 202
Delaware, OH 43015
Phone (833) 351-8255
Other practice location 3
9805 Double R Road
Suite 300, Private office 3040
Reno, NV 89521
Phone (833) 351-8255
Other practice location 4
1980 Festival Plaza Dr
Suite 300
Las Vegas, NV 89135-2927
Phone (323) 205-7088
Other practice location 5
550 Congressional Blvd
Suite 350, Private Office 361
Carmel, IN 46032
Phone (833) 351-8255
Other practice location 6
201 N Illinois St
16th Floor, South Tower
Indianapolis, IN 46204-2034
Phone (323) 205-7088
Other practice location 7
5201 Great America Pkwy
suite 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467826222 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Pine St
Suite 1250
San Francisco, CA 94111-5235
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW67931 | CA | MD | Mental Health Counselor |
| LCSW86730 | CA | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1467826222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 W 83RD ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903051741",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PINE ST",
"address_2": "SUITE 1250 (PRIVATE OFFICE 3)",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115102",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "800 N High St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432151430",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 W Winter St",
"address_2": "Suite 200, private office 202",
"address_purpose": "LOCATION",
"city": "Delaware",
"state": "OH",
"postal_code": "43015",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9805 Double R Road",
"address_2": "Suite 300, Private office 3040",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "89521",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1980 FESTIVAL PLAZA DR",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891352927",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 Congressional Blvd",
"address_2": "Suite 350, Private Office 361",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "46032",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N Illinois St",
"address_2": "16th Floor, South Tower",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462042034",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5201 Great America Pkwy",
"address_2": "suite 320",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950541140",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW86730",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34011168A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW67931",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2405368",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "12946-C",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467826222",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.