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

Mellissa Teresa Bonilla, LCSW

Individual provider Mental Health Counselor · NPI 1952559825

Mellissa Teresa Bonilla, LCSW is a Clinical Social Worker in San Francisco, California. Qualified in 2012, 14 years ago. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2008
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1001 Potrero Ave Ward 93
San Francisco, CA 94110-3518
Phone: (415) 206-8412
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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 · Licence LCSW79897 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X · Licence 35973 (CA)

Record details

NPI number1952559825
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 4, 2008
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Not indicated

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