Provider Demographics
NPI:1053978650
Name:SCHULZE, MELISSA LAYTON (LCSW #130147)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:LAYTON
Last Name:SCHULZE
Suffix:
Gender:F
Credentials:LCSW #130147
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 N CLEMENTINE ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-2806
Mailing Address - Country:US
Mailing Address - Phone:760-274-7880
Mailing Address - Fax:
Practice Address - Street 1:315 N CLEMENTINE ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-2806
Practice Address - Country:US
Practice Address - Phone:760-274-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1301471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program