Individual provider Active NPI

Melisa Carmona Valenzuela, M.S.W

  • Clinical Social Worker
  • City of Industry, CA
National Provider Identifier
1811443708
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW108506 Issued in CA
Practice address
13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485
Phone
(562) 821-1491
NPI assigned
Aug 30, 2016
Reactivated
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW108506 CA Primary

Addresses

Primary practice location

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

Mailing address

10016 El Poche St
South El Monte, CA 91733-3214
Phone (626) 274-5107

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

LicenseStateTypeSpecialty
ASW108506CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heredia Family Therapy, Inc CurrentSince Sep 14, 2025 Accepting new patients
Heredia Family Therapy, Inc Clinical CurrentSince Sep 14, 2025 Accepting new patients

Locations

13200 Crossroads Pkwy N
Ste 335
City of Industry, CA 91746
Phone (562) 556-1493

Organizations & group practices 2

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1811443708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 EL POCHE ST",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333214",
            "telephone_number": "626-274-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "MELISA",
        "middle_name": "CARMONA",
        "credential": "M.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "deactivation_date": "2023-08-29",
        "reactivation_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW108506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.