Organization Active NPI

New Life Family Counseling, a Profesional Clinical Social Worker Corp.

  • Clinical Social Worker
  • Arcadia, CA
National Provider Identifier
1285144691
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
77521 Issued in CA
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

Updated by the provider on Oct 11, 2017

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1992881312OtherCOMMERCIAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.