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General NPI Number Information
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NPI Number | 1699158972
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Entity Type | Individual
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Provider Name | MELISSA JANE JONES PHD, MSW
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Gender | Female
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Dates
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Enumeration Date | 07/03/2015
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3130 E VICTORIA DR
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City | ALPINE
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State | CA
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Zip | 91901-3677
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Country | US
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Telephone | 707-495-4236
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Fax | 855-975-2985
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Provider Business Mailing Address
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Address Line | 3130 E VICTORIA DR
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City | ALPINE
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State | CA
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Zip | 91901-3677
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Country | US
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Telephone | 707-495-4236
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Fax | 855-975-2985
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW66919
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-18590
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14174915-3501
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 170216786
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | LCSW86368
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW86368
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License Number State | CA
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