Provider Demographics
NPI:1548756943
Name:HERNDON, MELINDA ANN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:ANN
Last Name:HERNDON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 INWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4344
Mailing Address - Country:US
Mailing Address - Phone:661-863-1053
Mailing Address - Fax:661-368-8488
Practice Address - Street 1:5300 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1664
Practice Address - Country:US
Practice Address - Phone:661-863-1053
Practice Address - Fax:661-368-8488
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical