Melissa Lizarraga, LCSW
Social Worker, Clinical in Imperial, CA. Individual provider (NPI-1).
NPI number1104712918
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1104712918
- Entity type
- Individual (NPI-1)
- Name
- Melissa Lizarraga
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 130355 | CA | Yes |
Practice location
Po Box 100Imperial, CA 92251-0100
Phone 760-540-1890
Mailing address
Po Box 100Imperial, CA 92251-0100
Phone 760-540-1890
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