Individual provider Active NPI

Elisa Vartanian Lima, L.C.S.W.

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1245356633
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26991 Issued in CA
Practice address
5500 E Atherton St Ste 227B
Long Beach, CA 90815-4018
Phone
(562) 852-3492
Fax
(855) 270-6689
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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 ASW 19439 CA
Clinical Social Worker 1041C0700X 26991 CA Primary

Addresses

Primary practice location

5500 E Atherton St Ste 227B
Long Beach, CA 90815-4018

Mailing address

5500 E Atherton St Ste 227B
Long Beach, CA 90815-4018
Phone (562) 852-3492

Other practice location 1

704 W 8th St
San Pedro, CA 90731-3017
Phone (310) 832-7545

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

LicenseStateTypeSpecialty
ASW 19439CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The San Pedro Clinic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1245356633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST STE 227B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154018",
            "telephone_number": "562-852-3492",
            "fax_number": "855-270-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST STE 227B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154018",
            "telephone_number": "562-852-3492",
            "fax_number": "855-270-6689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 W 8th St",
            "address_purpose": "LOCATION",
            "city": "San Pedro",
            "state": "CA",
            "postal_code": "907313017",
            "country_code": "US",
            "telephone_number": "310-832-7545",
            "fax_number": "310-833-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMA",
        "first_name": "ELISA",
        "middle_name": "VARTANIAN",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 19439",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26991",
            "primary": true
        }
    ],
    "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 Feb 25, 2019; 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.