Empatia Counseling Services a Licensed Clinical Social Worker Co

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMPATIA COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER CO

Practice address

4401 Atlantic Ave Ste 200
Long Beach, CA 90807-2264

Phone

(213) 640-9256

Fax

(562) 685-0459

NPI assigned

May 9, 2023

Organization subpart

No

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

Authorized official

Name

Diana Siguenza Lizarde, LCSW

Title

Ceo

Phone

(213) 640-9256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Siguenza Lizarde, LCSW

  • Clinical Social Worker
  • Long Beach, CA
  • NPI 1811270002
  Medicare reassignment NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1306536743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072264",
            "telephone_number": "213-640-9256",
            "fax_number": "562-685-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072264",
            "telephone_number": "213-640-9256",
            "fax_number": "562-685-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPATIA COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "LIZARDE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "SIGUENZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-640-9256",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristine Grace Emry - Jackson, LCSW

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.