Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Banuelos

Individual provider Clinical Social Worker · NPI 1508470071

Melissa Banuelos is a Clinical Social Worker in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Sokyahealth Medical Group PC, a 178-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2020
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Practice location Address checks out

840 N Avenue 66
Los Angeles, CA 90042-1508
Phone: (626) 395-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1508470071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2020
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sokyahealth Medical Group Pc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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