Active NPI
Alicia Marie Powell
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1366617151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29294
- Practice address
- 100 Oceangate Ste 550
Long Beach, CA 90802-4379 - Phone
- (562) 435-2287
- Fax
- (562) 435-3128
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 29294 | CA | Primary |
Addresses
Primary practice location
100 Oceangate Ste 550
Long Beach, CA 90802-4379
Mailing address
100 Oceangate Ste 550
Long Beach, CA 90802-4379
Phone (562) 435-2287
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29294 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1366617151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OCEANGATE STE 550",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024379",
"telephone_number": "562-435-2287",
"fax_number": "562-435-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OCEANGATE STE 550",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024379",
"telephone_number": "562-435-2287",
"fax_number": "562-435-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ALICIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "29294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.