Individual provider Active NPI

Melissa Jane Jones, PHD, MSW

  • Clinical Social Worker
  • Alpine, CA
National Provider Identifier
1699158972
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW86368 Issued in CA
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

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200916003013 AZ Practitioner - Clinical Social Worker 3678991270 Reassigns benefits to 1 organization
I20200922000491 CA Practitioner - Clinical Social Worker 3678991270 Reassigns benefits to 1 organization

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
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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

LicenseStateTypeSpecialty
ASW66919CAMDSocial Worker
LCSW-18590AZMDClinical Social Worker
14174915-3501UTMDClinical Social Worker
170216786CAMDSchool Social Worker
86368CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lomi School Foundation Mental Health CurrentSince Sep 1, 2021 Accepting new patients
Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. Clinical CurrentSince Nov 18, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Mar 30, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.