Active NPI
Alexis Flynn
- Social Worker
- Long Beach, CA
National Provider Identifier
1255782868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW86666
- Practice address
- 11 Golden SHR Ste 350
Long Beach, CA 90802-4279 - Phone
- (888) 588-8995
- NPI assigned
- Jun 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW86666 | CA | Primary |
Addresses
Primary practice location
11 Golden SHR Ste 350
Long Beach, CA 90802-4279
Mailing address
PO Box 981043
Park City, UT 84098-1043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW86666 | CA | MD | Social Worker |
| 86666 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Current | Accepting new patients |
Locations
235 E Broadway
Ste 314
Long Beach, CA 90802
Phone (530) 240-5855
11 Golden Shore
Ste 350
Long Beach, CA 90802
Phone (562) 253-7688
1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379
Interoperability endpoints
- alexis.flynn.1@25119.direct.athenahealth.com
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.
-
- Counselor
- Sacramento, CA
- NPI 1902390537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1255782868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981043",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840981043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GOLDEN SHR STE 350",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024279",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW86666",
"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 May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.