Individual provider · Type 1 NPI

Mayra Melgoza

Clinical Social Worker · Los Angeles, CA

NPI number 1003586835 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 395-7100 Map

Mailing address

24115 Amberley Dr
Moreno Valley, CA 92553-3382

Other practice locations

  • 4187 Flat Rock Dr Ste 350, Riverside, CA 92505-7124 · (951) 476-5642
  • 835 Highland Springs Ave Ste 210, Beaumont, CA 92223-5771 · (626) 395-7100

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X125354 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003586835

Mayra Melgoza's National Provider Identifier is 1003586835, issued on Sep 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 2, 2026.