Melissa Dimalanta Camorongan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

69905 Issued in CA

Practice address

485 N 1St St
San Jose, CA 95112-4067

Phone

(510) 406-2347

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Easa Dimalanta Camorongan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1700075710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124067",
            "telephone_number": "510-406-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124067",
            "telephone_number": "510-406-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMORONGAN",
        "first_name": "MELISSA",
        "middle_name": "DIMALANTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EASA",
            "last_name": "CAMORONGAN",
            "middle_name": "DIMALANTA",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Camino Ear, Nose & Throat Clinic, Inc.
• Camino Medical Group
• Mariahrose Rambac Cammarata
• Laurie Ann Bostick Cammon, MD
• Camny Medical Services West PC
• Gail Lynne Campanale, LMFT
• Kerri Ann Campanelli
• Sam Vincent Campanelli Jr., OTD, OTR/L
• Campbell Union High School District
• Camille Campbell

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.

Verify at the official NPI Registry.