NPIMap

Organization Active NPI

Scott Haitsuka, Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1023897790
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SCOTT HAITSUKA, LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
370 Wisconsin Ave Unit 101
Long Beach, CA 90814-6728
Phone
(415) 282-8967
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Haitsuka, LCSWNPI 1710499199
Title
Licensed Clinical Social Worker
Phone
(415) 322-8665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

370 Wisconsin Ave Unit 101
Long Beach, CA 90814-6728

Mailing address

2436 E 4TH St # 646
Long Beach, CA 90814-1156
Phone (415) 322-8665

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1023897790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 E 4TH ST # 646",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141156",
            "telephone_number": "415-322-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 WISCONSIN AVE UNIT 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908146728",
            "telephone_number": "415-282-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT HAITSUKA, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "HAITSUKA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "415-322-8665",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.