Active NPI
Melissa Jane Jones, PHD, MSW
- Clinical Social Worker
- Alpine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW86368
- Practice address
- 3130 E Victoria Dr
Alpine, CA 91901-3677 - Phone
- (707) 495-4236
- Fax
- (855) 975-2985
- NPI assigned
- Jul 3, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW66919 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-18590 | AZ | |
| Clinical Social Worker | 1041C0700X | 14174915-3501 | UT | |
| School Social Worker | 1041S0200X | 170216786 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | LCSW86368 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW86368 | CA | Primary |
Addresses
Primary practice location
3130 E Victoria Dr
Alpine, CA 91901-3677
Mailing address
3130 E Victoria Dr
Alpine, CA 91901-3677
Phone (707) 495-4236
Other practice location 1
892 27th St
San Diego, CA 92154-1444
Phone (619) 575-4687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW66919 | CA | MD | Social Worker |
| LCSW-18590 | AZ | MD | Clinical Social Worker |
| 14174915-3501 | UT | MD | Clinical Social Worker |
| 170216786 | CA | MD | School Social Worker |
| 86368 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lomi School Foundation | Mental Health | Current | Accepting new patients |
| Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
534 B St
Santa Rosa, CA 95401
Phone (707) 430-8351
320 10th St
Ste 200
Santa Rosa, CA 95401
Phone (707) 536-7804
Organizations & group practices 3
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.
-
dba Lomi Psychotherapy Clinic
- Mental Health Counselor
- Santa Rosa, CA
- NPI 1437171543
-
- Clinical Social Worker
- Alpine, CA
- NPI 1760342414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1699158972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 E VICTORIA DR",
"city": "ALPINE",
"state": "CA",
"postal_code": "919013677",
"telephone_number": "707-495-4236",
"fax_number": "855-975-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 E VICTORIA DR",
"city": "ALPINE",
"state": "CA",
"postal_code": "919013677",
"telephone_number": "707-495-4236",
"fax_number": "855-975-2985"
}
],
"practiceLocations": [
{
"address_1": "892 27th St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921541444",
"country_code": "US",
"telephone_number": "619-575-4687",
"fax_number": "619-575-1215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MELISSA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "PHD, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-03",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW66919",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-18590",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "14174915-3501",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "170216786",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "LCSW86368",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW86368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
- Diane Eugenia Janssen, LMFT
- Ria Ann Ramos Jaramillo, FNP-C
- Jing Jing, Inc. (Vocal Link)
- Jing Jing, Inc. (Industrial Toxicology Management)
- Jonar R Bonifacio, DDS, Inc (Alpine Dentistry)
- Selcuk Adem Kahramanoglu
- Robert Keetch III, LMFT
- Joyce Patricia Kellawon, MD
- Dustin Hayes Kessler, AMFT, CADC-III
- Pia Khandekar, PSYD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.