Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp.
NPI 1760342414ActiveOrganization· Social Worker, Clinical· Alpine, CA
Social Worker, Clinical in Alpine, California, registered in NPPES in November 2025, part of Sun Ridge Psychotherapy Lc. The authorized official on file is Melissa Jane Jones, PHD, LCSW, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760342414 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sun Ridge Psychotherapy Lc |
| NPI issued | Nov 14, 2025 |
| Last updated in NPPES | Nov 14, 2025 |
| Certified by provider | Nov 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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