Individual provider Active NPI

Stephanie Elaine Peoples

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1285916288
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107268 Issued in CA
Practice address
11 Golden SHR Ste 350
Long Beach, CA 90802-4279
Phone
(888) 588-8995
NPI assigned
Sep 15, 2011
Last updated
May 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107268 CA Primary

Addresses

Primary practice location

11 Golden SHR Ste 350
Long Beach, CA 90802-4279

Mailing address

16205 Woodruff Ave Apt 22
Bellflower, CA 90706-4935
Phone (562) 338-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231213002129 CA Practitioner - Clinical Social Worker 2961851142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107268CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange Current Accepting new patients
County of Orange CurrentSince Oct 31, 2023 Accepting new patients
County of Orange CurrentSince Oct 31, 2023 Accepting new patients
Foresight Mental Health Clinical CurrentSince May 11, 2025 Accepting new patients

Locations

11 Golden Shore
Ste 350
Long Beach, CA 90802
Phone (562) 253-7688

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

14140 Beach Blvd
Westminster, CA 92683
Phone (714) 896-7566

14140 Beach Blvd
Ste 223
Westminster, CA 92683
Phone (714) 896-7566

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1285916288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 WOODRUFF AVE APT 22",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064935",
            "telephone_number": "562-338-5350"
        },
        {
            "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": "PEOPLES",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "107268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.