Healthcare Provider Details

I. General information

NPI: 1649108259
Provider Name (Legal Business Name): MELISSA THRASH-PENA ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1832 SOSCOL AVE
NAPA CA
94559-1350
US

IV. Provider business mailing address

598 EDGEMONT LN
ANGWIN CA
94508-9642
US

V. Phone/Fax

Practice location:
  • Phone: 415-894-5581
  • Fax: 916-407-3010
Mailing address:
  • Phone: 609-515-6586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW122182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: