Active NPI
Angel Facey
- Clinical Social Worker
- Redondo Beach, CA
National Provider Identifier
1245950484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 76305
- Practice address
- 1413 Hawthorne Blvd
Redondo Beach, CA 90278-3923 - Phone
- (310) 565-7037
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76305 | CA | Primary |
Addresses
Primary practice location
1413 Hawthorne Blvd
Redondo Beach, CA 90278-3923
Mailing address
3680 Wilshire Blvd Ste P04
Los Angeles, CA 90010-2709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245950484 | Other | CA | BETTER HELP |
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 |
|---|---|---|---|
| LCSW76305 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1245950484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 WILSHIRE BLVD STE P04",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 HAWTHORNE BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783923",
"telephone_number": "310-565-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACEY",
"first_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BETTER HELP",
"identifier": "1245950484",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.