Active NPI
New Life Family Counseling, a Profesional Clinical Social Worker Corp.
- Clinical Social Worker
- Arcadia, CA
National Provider Identifier
1285144691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 77521
- Legal business name
- NEW LIFE FAMILY COUNSELING, A PROFESIONAL CLINICAL SOCIAL WORKER CORP.
- Practice address
- 440 E Huntington Dr Ste 360
Arcadia, CA 91006-3776 - Phone
- (626) 353-8772
- Fax
- (800) 806-3121
- NPI assigned
- Oct 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sylvia S. Roan, LCSW
- Title
- President
- Phone
- (626) 353-8772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 77521 | CA | Primary |
Addresses
Primary practice location
440 E Huntington Dr Ste 360
Arcadia, CA 91006-3776
Mailing address
5606 Welland Ave
Temple City, CA 91780-2933
Phone (626) 353-8772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992881312 | Other | COMMERCIAL |
National Provider Directory
National Provider DirectoryLocations
440 E Huntington Dr
Ste 360
Arcadia, CA 91006
Phone (626) 684-3300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1507680000000",
"number": "1285144691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5606 WELLAND AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917802933",
"telephone_number": "626-353-8772",
"fax_number": "800-806-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 E HUNTINGTON DR STE 360",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910063776",
"telephone_number": "626-353-8772",
"fax_number": "800-806-3121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE FAMILY COUNSELING, A PROFESIONAL CLINICAL SOCIAL WORKER CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A",
"authorized_official_last_name": "ROAN",
"authorized_official_first_name": "SYLVIA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-353-8772",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "1992881312",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.