Active NPI
Lina E. Melendez
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1649642984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 89145
- Practice address
- 1925 E Dakota Ave
Fresno, CA 93726-4821 - Phone
- (559) 216-1075
- Fax
- (559) 705-6762
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 62460 | CA | |
| Clinical Social Worker | 1041C0700X | 89145 | CA | Primary |
Addresses
Primary practice location
1925 E Dakota Ave
Fresno, CA 93726-4821
Mailing address
1925 E Dakota Ave
Fresno, CA 93726-4821
Phone (559) 216-1075
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62460 | CA | MD | Clinical Social Worker |
| 89145 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1649642984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 E DAKOTA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264821",
"telephone_number": "559-216-1075",
"fax_number": "559-705-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E DAKOTA AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264821",
"telephone_number": "559-216-1075",
"fax_number": "559-705-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "LINA",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-27",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "62460",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "89145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.