Individual provider Active NPI

Sheryl Stephanie Wamsley-Goldsmith, LCSW

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1285961748
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20718 Issued in CA
Practice address
408 Westminster Ave
Suite 10
Newport Beach, CA 92663-4238
Phone
(949) 244-2982
NPI assigned
Nov 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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 LCS20718 CA Primary

Addresses

Primary practice location

408 Westminster Ave
Suite 10
Newport Beach, CA 92663-4238

Mailing address

5581 Spa Dr
Huntington Beach, CA 92647-2022
Phone (714) 898-8656

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20718CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1285961748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 SPA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472022",
            "telephone_number": "714-898-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WESTMINSTER AVE",
            "address_2": "SUITE 10",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634238",
            "telephone_number": "949-244-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMSLEY-GOLDSMITH",
        "first_name": "SHERYL",
        "middle_name": "STEPHANIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; 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.