1. Home
  2. Directory
  3. California
  4. Orange
  5. Social Worker
  6. NPI Profile

MISS MELLYSA WIBOWO
NPI 1508474016
Social Worker in Orange, CA

Active since July 21, 2020
4000 W METROPOLITAN DR # 120, ORANGE, CA 92868(714) 972-3716 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2020, Sep 17, 2020, Jul 21, 2020 (3 updates tracked since 2020).

About Miss Mellysa Wibowo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MELLYSA WIBOWO (NPI 1508474016) is an individual social worker in Orange, California and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1508474016
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMISS MELLYSA WIBOWO
Location Address4000 W METROPOLITAN DR # 120Orange, CA 92868-3504
Mailing Address4000 W Metropolitan Dr # 120Orange, CA 92868-3504 · (714) 972-3716
Phone(714) 972-3716
Sole ProprietorNo
Enumeration DateJuly 21, 2020
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
✔ NPI 1508474016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4000 W METROPOLITAN DR # 120, Orange, CA 92868
Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAI TRINH BA-SOCIOLOGY
Rehabilitation Practitioner
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-9700
ANGELA JOO HI LEE LMFT
Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 834-5601
DR. WELANSA ASRAT M.D.
Psychiatry & Neurology (Psychiatry)
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-3700
DIANA MARIE CUPP NP-C
Nurse Practitioner (Family)
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-3700
KELLEY ANNE FLORES
Rehabilitation Practitioner
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-3700
MR. ANTHONY VAN PHAN LMFT
Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-3700
NGA BICH DUONG
Marriage & Family Therapist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-3700
RUDYNE LOUISE MINOR
Peer Specialist
4000 W METROPOLITAN DR # 120
ORANGE, CA 92868
Orange County (714) 972-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mellysa Wibowo's NPI number?

The NPI number for Mellysa Wibowo is 1508474016. It was assigned to this individual provider in the NPPES registry on July 21, 2020.

Where is Mellysa Wibowo located?

Mellysa Wibowo practices at 4000 W Metropolitan Dr # 120, Orange, CA 92868. The listed phone number is (714) 972-3716.

What is Mellysa Wibowo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Mellysa Wibowo was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.