Individual provider Active NPI

Melissa Nicole Briseno-Vasquez, MSW, ACSW

  • Clinical Social Worker
  • California City, CA
National Provider Identifier
1871295030
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134638 Issued in CA
Practice address
9312 Susan Ave
California City, CA 93505-1204
Phone
(661) 386-9909
NPI assigned
Mar 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 134638 CA Primary

Addresses

Primary practice location

9312 Susan Ave
California City, CA 93505-1204

Mailing address

1109 W Newgrove St
Lancaster, CA 93534-3311
Phone (818) 419-0308

Other practice location 1

1109 W Newgrove St
Lancaster, CA 93534-3311
Phone (818) 419-0308

Other names 1

  • Melissa Nicole Briseno Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260221001060 CA Practitioner - Clinical Social Worker 7416438007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1109 W Newgrove St
Lancaster, CA 93534-3311

18425 Burbank Blvd
Suite 609
Tarzana, CA 91356-2826

402 W Broadway
Suite 400
San Diego, CA 92101-3554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134638CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Reflection Room Clinical CurrentSince Nov 18, 2025 Accepting new patients
Cyti Health PC CurrentSince Jan 10, 2026 Accepting new patients
Center for New Directions, Inc. Mental Health Past Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 4

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": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1871295030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W NEWGROVE ST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343311",
            "telephone_number": "818-419-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 SUSAN AVE",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935051204",
            "telephone_number": "661-386-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1109 W Newgrove St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343311",
            "country_code": "US",
            "telephone_number": "818-419-0308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISENO-VASQUEZ",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "credential": "MSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "134638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BRISENO",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in California City, CA

Sources for this page

Verify at the official NPI Registry.