Active NPI
Michelle Nicole Menke, LCSW
- Clinical Social Worker
- Santa Ana, CA
National Provider Identifier
1477958486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73946
- Practice address
- 2001 E 4TH St Ste 116
Santa Ana, CA 92705-3916 - Phone
- (909) 730-8392
- NPI assigned
- Nov 3, 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 | 73946 | CA | Primary |
Addresses
Primary practice location
2001 E 4TH St Ste 116
Santa Ana, CA 92705-3916
Mailing address
2001 E 4TH St Ste 116
Santa Ana, CA 92705-3916
Phone (714) 824-8150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73946 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| College Community Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Santa Ana, CA
- NPI 1528197662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1477958486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 E 4TH ST STE 116",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053916",
"telephone_number": "714-824-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E 4TH ST STE 116",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053916",
"telephone_number": "909-730-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENKE",
"first_name": "MICHELLE",
"middle_name": "NICOLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-03",
"last_updated": "2022-03-23",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "73946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.