Melissa Fowler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73228 Issued in CA

Practice address

15651 Imperial Hwy
Suite 203
La Mirada, CA 90638-1628

Phone

(562) 383-1728

Fax

(562) 309-8319

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Melissa Elizabeth Bartlotti Former 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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1861700510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1831",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906371831",
            "telephone_number": "562-383-1728",
            "fax_number": "562-309-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY",
            "address_2": "SUITE 203",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381628",
            "telephone_number": "562-383-1728",
            "fax_number": "562-309-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "33406",
            "primary": false
        },
        {
            "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": "73228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BARTLOTTI",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Summer Flores
• Marvin Forman, O.D.
• Myriam Forster, B.A.
• Cherie Cynthia Fort, FNP-BC
• Damian Paul Fowler, LMFT
• Friendly Hills Medical Center Pharmacy Inc
• Magdy W Gad, DDS
• Gregory John Galbreath, M.D.
• Gaminchi and Kim Dental Corporation
• Marisa Garcia, M.A., BCBA

• Clinical Social Worker in La Mirada, CA
• Providers in La Mirada, 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 May 9, 2017; 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.