SUN RIDGE PSYCHOTHERAPY CLINIC LICENSED CLINICAL SOCIAL WORKER CORP.
NPI 1760342414
Social Worker - Clinical in Alpine, CA
About Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUN RIDGE PSYCHOTHERAPY CLINIC LICENSED CLINICAL SOCIAL WORKER CORP. (NPI 1760342414) is a healthcare organization registered as a clinical in Alpine, California and active in the NPI registry since November 2025. The organization lists Melissa Jane Jones, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp.'s NPI number?
The NPI number for Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. is 1760342414. It was assigned to this organization in the NPPES registry on November 14, 2025.
Where is Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. located?
Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. is located at 3130 E Victoria Dr, Alpine, CA 91901. The listed phone number is (707) 495-4236.
What is Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp.'s specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. enrolled in Medicare?
Yes. Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. · NPI 1760342414
Clinical organization in Alpine, California. Organization record, active in the CMS NPPES registry since November 14, 2025.
## Identity
- **NPI:** 1760342414 (Entity type: Organization)
- **Enumerated:** November 14, 2025
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Also known as:** Sun Ridge Psychotherapy Clinic Licensed Clinical Social Worker Corp. (Other Name)
- **Organization subpart:** Yes (part of Sun Ridge Psychotherapy Lc)
- **Authorized official:** Melissa Jones, CLINICAL DIRECTOR
## Practice location
- **Address:** 3130 E VICTORIA DR, Alpine, CA 91901-3677
- **Phone:** (707) 495-4236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760342414) · Data from the CMS NPPES public registry.