Individual provider Active NPI

Gwen Schwimmer, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1104830256
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23240 Issued in CA
Practice address
6615 E Pacific Coast Hwy
Suite 115
Long Beach, CA 90803-4211
Phone
(646) 280-5121
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R035447-1 NY
Clinical Social Worker 1041C0700X 23240 CA Primary

Addresses

Primary practice location

6615 E Pacific Coast Hwy
Suite 115
Long Beach, CA 90803-4211

Mailing address

334 Newport Ave
Apt 4
Long Beach, CA 90814-2675
Phone (646) 280-5121

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23240CAMDPsychologist
R035447-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1104830256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 NEWPORT AVE",
            "address_2": "APT 4",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908142675",
            "telephone_number": "646-280-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "646-280-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIMMER",
        "first_name": "GWEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035447-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.