Active NPI
Esther Soleimani Shim, LCSW
- Clinical Social Worker
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW122065
- Practice address
- 1515 W Cameron Ave Ste 210
West Covina, CA 91790-2726 - Phone
- (626) 653-9913
- NPI assigned
- Aug 4, 2021
- Last updated
- May 31, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 95493 | CA | |
| Social Worker | 104100000X | ACSW95493 | CA | |
| Clinical Social Worker | 1041C0700X | ACSW95493 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW122065 | CA | Primary |
Addresses
Primary practice location
1515 W Cameron Ave Ste 210
West Covina, CA 91790-2726
Mailing address
1515 W Cameron Ave Ste 210
West Covina, CA 91790-2726
Phone (626) 653-9913
Other practice location 1
1635 W Main St Ste 100
Alhambra, CA 91801-1951
Phone (626) 248-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95493 | CA | MD | Mental Health Counselor |
| ACSW95493 | CA | MD | Clinical Social Worker |
| LCSW122065 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Past | Accepting new patients |
Locations
1635 W Main St
Ste 100
Alhambra, CA 91801
Phone (626) 248-1800
905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Van Nuys, CA
- NPI 1710018841
-
- Voluntary or Charitable Agency
- Los Angeles, CA
- NPI 1952442949
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- West Covina, CA
- NPI 1063160059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1083388938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W CAMERON AVE STE 210",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902726",
"telephone_number": "626-653-9913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W CAMERON AVE STE 210",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902726",
"telephone_number": "626-653-9913"
}
],
"practiceLocations": [
{
"address_1": "1635 W Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918011951",
"country_code": "US",
"telephone_number": "626-248-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLEIMANI SHIM",
"first_name": "ESTHER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "95493",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW95493",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ACSW95493",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW122065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.