Active NPI
Kristin Simone McNeese
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1013303833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW85606
- Practice address
- 1301 Pine Ave
Long Beach, CA 90813-3124 - Phone
- (562) 833-3502
- Fax
- (562) 426-4661
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW65267 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW85606 | CA | Primary |
Addresses
Primary practice location
1301 Pine Ave
Long Beach, CA 90813-3124
Mailing address
1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 595-1159
Other practice location 1
222 W 6th St Ste 230
San Pedro, CA 90731-3332
Phone (310) 833-3135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW65267 | CA | MD | Mental Health Counselor |
| LCSW85606 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Me Psychotherapy, Inc. | Past | Accepting new patients | |
| The Guidance Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Culver City, CA
- NPI 1720403512
-
- Community/Behavioral Health Agency
- San Pedro, CA
- NPI 1174654156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620172800000",
"number": "1013303833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133124",
"telephone_number": "562-595-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133124",
"telephone_number": "562-833-3502",
"fax_number": "562-426-4661"
}
],
"practiceLocations": [
{
"address_1": "222 W 6th St Ste 230",
"address_purpose": "LOCATION",
"city": "San Pedro",
"state": "CA",
"postal_code": "907313332",
"country_code": "US",
"telephone_number": "310-833-3135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEESE",
"first_name": "KRISTIN",
"middle_name": "SIMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2021-05-05",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW65267",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW85606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.