Individual provider Active NPI

Rebecca Cousineau

  • Clinical Social Worker
  • Bellflower, CA
National Provider Identifier
1346599354
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW78476 Issued in CA
Practice address
14371 Clark Ave
Bellflower, CA 90706-2901
Phone
(562) 867-9070
NPI assigned
Sep 5, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LCSW78476 CA Primary

Addresses

Primary practice location

14371 Clark Ave
Bellflower, CA 90706-2901

Mailing address

14371 Clark Ave
Bellflower, CA 90706-2901
Phone (323) 201-4516

Other practice location 1

1325 N Western Ave
Los Angeles, CA 90027-5615
Phone (323) 461-3131

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
I20240930001463 CA Practitioner - Clinical Social Worker 2769913912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JWCH Institute IncGroup PAC ID 1850394123, 27 clinicians

Practice addresses (Care Compare)

954 N Vermont Ave
Los Angeles, CA 90029-3529
Phone (323) 644-2275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW78476CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JWCH Institute Inc CurrentSince Jul 14, 2024 Accepting new patients
JWCH Institute, Inc. CurrentSince Jul 14, 2024 Accepting new patients
JWCH Institute Inc Current Accepting new patients
Covenant House California Past Accepting new patients
JWCH Institute, Inc Past Accepting new patients

Locations

14371 Clark Ave
Bellflower, CA 90706
Phone (562) 867-6006

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

522 S San Pedro St
Los Angeles, CA 90013
Phone (213) 486-4085

954 N Vermont Ave
Los Angeles, CA 90029
Phone (323) 454-4850

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAGGAA
  • Direct secure messaging: rebecca.cousineau.p1@direct.jwch.nextgenshare.com

Organizations & group practices 5

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346599354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14371 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062901",
            "telephone_number": "323-201-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14371 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907062901",
            "telephone_number": "562-867-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900275615",
            "country_code": "US",
            "telephone_number": "323-461-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW78476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.