Active NPI
Rebecca Cousineau
- Clinical Social Worker
- Bellflower, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW78476
- Practice address
- 14371 Clark Ave
Bellflower, CA 90706-2901 - Phone
- (562) 867-9070
- NPI assigned
- Sep 5, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW78476 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JWCH Institute Inc | Current | Accepting new patients | |
| JWCH Institute, Inc. | Current | 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
- https://fhir4.healow.com/fhir/r4/HAGGAA
- 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.
-
dba JWCH Institute Inc Medical Clinic Weingart Center
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
dba Wesley Health Centers - Health and Wellness Center 2
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1376794560
-
- Mental Illness Community Based Residential Treatment Facility
- Los Angeles, CA
- NPI 1518169325
-
dba JWCH Medical Clinic - Covenant House California
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1528515152
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
- County of Los Angeles Auditor Controller (Bellflower Health Center)
- County of Los Angeles Auditor Controller (Bellflower Health Center)
- County of Los Angeles Auditor Controller (Bellflower Health Center)
- County of Los Angeles Auditor Controller (Bellflower Health Center)
- County of Los Angeles Auditor Controller (Bellflower Health Center)
- Tom C Cozad, CRNA
- Kristelle Crane, PA-C
- Carolyn M Crawford, LCSW
- Katirina Crenshaw, PSY.D.
- Crossroad Integrated Services (Crossroads Adhc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.