Melisa Nicholson, LCSW is a
Social Worker - Clinical based in Mission Viejo, California. Melisa Nicholson is licensed to practice in California (license number 107541) and her current practice location is
27800 Medical Center Rd, Mission Viejo, California. She can be reached at her office (for appointments etc.) via phone at
(949) 866-3600.
NPI number for Melisa Nicholson is 1407206261 and her current mailing address is 11481 American River Rd, Corona, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407206261.
Healthcare Provider's Profile
| Full Name | Melisa Nicholson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 27800 Medical Center Rd, Mission Viejo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407206261
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 07/26/2022
Medical Identifiers
Medical identifiers for Melisa Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407206261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 104100000X | Social Worker | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107541 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melisa Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Melisa Nicholson, LCSW
11481 American River Rd,
Corona, CA 92878-9416
Ph: (714) 398-2938 | Melisa Nicholson, LCSW
27800 Medical Center Rd,
Mission Viejo, CA 92691-6410
Ph: (949) 866-3600 |
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