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NPI Code Detail

MEDICARE: MELINDA JANE BERGE ECHEVERRIA LCSW

MEDICARE: MELINDA JANE BERGE ECHEVERRIA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS23319CA

General Provider Information

NPI Number : 1003834367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA JANE BERGE ECHEVERRIA LCSW
Provider Business Mailing Address
First Line : 1855 W KATELLA AVE STE 150
Second Line :
City : ORANGE
State : CA
Zip : 92867-3432
Country : US
Telephone Number : 714-399-3480
Fax Number :
Provider Business Practice Location Address
First Line : 1855 W KATELLA AVE STE 150
Second Line :
City : ORANGE
State : CA
Zip : 92867-3432
Country : US
Telephone Number : 714-399-3480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 09/16/2020

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Directions to “ MELINDA JANE BERGE ECHEVERRIA LCSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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