Supportive Services by Houseal, Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPORTIVE SERVICES BY HOUSEAL, LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

1050 Lakes Dr Ste 225
West Covina, CA 91790-2910

Phone

(626) 699-0990

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Richard Eddie Houseal Jr., LCSWNPI 1770062689

Title

Ceo and President- LCSW

Phone

(302) 668-6525

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Richard E Houseal Jr., LCSW

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1770062689
  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1144972654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 225",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902910",
            "telephone_number": "626-699-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LAKES DR STE 225",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902910",
            "telephone_number": "626-699-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE SERVICES BY HOUSEAL, LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "HOUSEAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDDIE",
        "authorized_official_title_or_position": "CEO AND PRESIDENT- LCSW",
        "authorized_official_telephone_number": "302-668-6525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "100220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunset Medical Clinic Inc
• Sunset Psychiatric Medical Center
• Sunset Surgical Center a Medical Corporation (Sunset Surgical Center Inc)
• Xiuhua Suo
• Supervision Optometry Inc
• Bryan Swickard
• Robyn Swift
• Thai Thuy Ta, D.D.S.
• Matthew Tabanfar
• Claire Marie Tabares, FNP-C

• Clinical Social Worker in West Covina, CA
• Providers in West Covina, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.