Individual provider Active NPI

Melinda Ann Herndon, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1548756943
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107563 Issued in CA
Practice address
5300 California Ave
Bakersfield, CA 93309-1664
Phone
(661) 863-1053
Fax
(661) 368-8488
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107563 CA Primary

Addresses

Primary practice location

5300 California Ave
Bakersfield, CA 93309-1664

Mailing address

6901 Inwood Dr
Bakersfield, CA 93309-4344
Phone (661) 863-1053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107563CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Counseling Services CurrentSince Jun 15, 2022 Accepting new patients
T H E Clinic Inc CurrentSince Nov 15, 2023 Accepting new patients

Locations

3834 S Western Ave
Los Angeles, CA 90062
Phone (323) 730-1920

Organizations & group practices 2

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1548756943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 INWOOD DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094344",
            "telephone_number": "661-863-1053",
            "fax_number": "661-368-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 CALIFORNIA AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933091664",
            "telephone_number": "661-863-1053",
            "fax_number": "661-368-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.