Individual ProviderMelanie Kathleen Walters-CastilloSocial WorkerBehavioral Health & Social Service ProvidersPractice Address160 E Virginia St Ste 280, San Jose, CA 95112-5817(408) 254-5197(408) 287-6200PECOS EnrollmentBased on the most recent information from CMS, provider Melanie Kathleen Walters-Castillo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1336718626Provider TypeIndividualFull NameWalters-Castillo, Melanie KathleenCredentialASWGenderFemaleSole ProprietorNoEnumeration Date6/21/2021Last Updated8/26/2024Contact InformationPractice LocationPractice Address160 E Virginia St Ste 280, San Jose, CA 95112-5817Phone(408) 254-5197FaxUnlisted FaxMailing LocationMailing Address160 E Virginia St Ste 280, San Jose, CA 95112-5817Phone(408) 287-6200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense124875CaliforniaCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer