Active NPI
Maria Kesler, ASW, CADC II
- Social Worker
- Long Beach, CA
National Provider Identifier
1073999124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 116071
- Practice address
- 2600 Redondo Ave
Long Beach, CA 90806-2325 - Phone
- (562) 256-2906
- Fax
- (562) 290-0136
- NPI assigned
- Jul 30, 2015
- Last updated
- Aug 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 116071 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A050720118 | CA | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2600 Redondo Ave
Long Beach, CA 90806-2325
Mailing address
2120 W Williams St Ste 1
Long Beach, CA 90810-3617
Phone (562) 388-8118
Other practice location 1
2120 W Williams St Ste 1
Long Beach, CA 90810-3617
Phone (562) 388-8118
Other practice location 2
15519 Crenshaw Blvd
Gardena, CA 90249-4525
Phone (310) 679-9126 ext. 1270
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 |
|---|---|---|---|
| A050720118 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 116071 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Indian Changing Spirits | Past | Accepting new patients | |
| American Indian Changing Spirits | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1780012674
-
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1841539921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1073999124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W WILLIAMS ST STE 1",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908103617",
"telephone_number": "562-388-8118",
"fax_number": "562-388-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 REDONDO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062325",
"telephone_number": "562-256-2906",
"fax_number": "562-290-0136"
}
],
"practiceLocations": [
{
"address_1": "2120 W Williams St Ste 1",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908103617",
"country_code": "US",
"telephone_number": "562-388-8118",
"fax_number": "561-388-8117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15519 Crenshaw Blvd",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902494525",
"country_code": "US",
"telephone_number": "310-679-9126 x1270",
"fax_number": "310-679-2920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESLER",
"first_name": "MARIA",
"credential": "ASW, CADC II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "116071",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A050720118",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"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 Aug 23, 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.