Individual provider Active NPI

Adilene De Leon

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1306232921
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW120895 Issued in CA
Practice address
11 Golden SHR Ste 350
Long Beach, CA 90802-4279
Phone
(888) 588-8995
NPI assigned
Apr 9, 2015
Reactivated
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 LCSW120895 CA Primary

Addresses

Primary practice location

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

Mailing address

11 Golden SHR Ste 350
Long Beach, CA 90802-4279
Phone (888) 588-8995

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
I20260320001690 CA Practitioner - Clinical Social Worker 6608350343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW120895CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Foresight Mental Health Clinical CurrentSince Nov 19, 2023 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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1306232921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GOLDEN SHR STE 350",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024279",
            "telephone_number": "888-588-8995"
        },
        {
            "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": "DE LEON",
        "first_name": "ADILENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "deactivation_date": "2018-08-04",
        "reactivation_date": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW120895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.