Jaqueline Colindres Melgar

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

96368 Issued in CA

Practice address

14371 Clark Ave
Bellflower, CA 90706-2901

Phone

(323) 201-4516

NPI assigned

Jan 5, 2021

Last updated

Jul 20, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1770171829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14371 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062901",
            "telephone_number": "323-201-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14371 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062901",
            "telephone_number": "323-201-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14371 Clark Ave",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907062901",
            "country_code": "US",
            "telephone_number": "323-201-4516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLINDRES MELGAR",
        "first_name": "JAQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "96368",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wade Cohen, M.F.C.C.
• Vivian Shantella Cole
• David M. Coleman, MD
• Raylene F. Coleman, MD
• Craig A. Coletta, MD
• Endica Collins, NP
• Alexis Colon, ATC
• Community Dental Services (SmileCare Dental Group)
• Community Family Guidance Center
• Community Medicine Inc (Community Medical Center)

• Clinical Social Worker in Bellflower, CA
• Providers in Bellflower, 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 Jul 20, 2023; 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.