Active NPI
Melissa Fraser Huerta, LCSW, PPSC
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1831915255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127447
- Practice address
- 8379 La Riviera Dr
Sacramento, CA 95826-1654 - Phone
- (916) 764-9327
- NPI assigned
- Dec 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 200174863 | CA | |
| Clinical Social Worker | 1041C0700X | 127447 | CA | Primary |
Addresses
Primary practice location
8379 La Riviera Dr
Sacramento, CA 95826-1654
Mailing address
8379 La Riviera Dr
Sacramento, CA 95826-1654
Phone (916) 764-9327
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200174863 | CA | MD | School Social Worker |
| 127447 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1831915255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8379 LA RIVIERA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261654",
"telephone_number": "916-764-9327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8379 LA RIVIERA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261654",
"telephone_number": "916-764-9327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUERTA",
"first_name": "MELISSA",
"middle_name": "FRASER",
"name_prefix": "Ms.",
"credential": "LCSW, PPSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": "200174863",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "127447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.