Provider Demographics
NPI:1750502647
Name:MORALES, MELBA MARINA (LCSW#66639)
Entity Type:Individual
Prefix:MRS
First Name:MELBA
Middle Name:MARINA
Last Name:MORALES
Suffix:
Gender:F
Credentials:LCSW#66639
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 E COMPTON BLVD
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-3303
Mailing Address - Country:US
Mailing Address - Phone:310-668-6800
Mailing Address - Fax:
Practice Address - Street 1:11605 ESTHER ST
Practice Address - Street 2:APARTMENT E
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-4141
Practice Address - Country:US
Practice Address - Phone:562-341-8219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical