Active NPI
Nicholas Longren
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1144732470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW114075
- Practice address
- 851 N Oakland Ave
Pasadena, CA 91104-4343 - Phone
- (626) 685-2197
- NPI assigned
- Oct 26, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW114075 | CA | Primary |
| Social Worker | 104100000X | 77369 | CA |
Addresses
Primary practice location
851 N Oakland Ave
Pasadena, CA 91104-4343
Mailing address
851 N Oakland Ave
Pasadena, CA 91104-4343
Phone (763) 732-8683
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 |
|---|---|---|---|
| LCSW114075 | CA | MD | Clinical Social Worker |
| 77369 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1144732470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 N OAKLAND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911044343",
"telephone_number": "763-732-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 N OAKLAND AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911044343",
"telephone_number": "626-685-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGREN",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-26",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW114075",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "77369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.