Active NPI
Kathleen Corinne Sopp, LCSW
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1376223164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28009
- Practice address
- 3605 Long Beach Blvd Ste 330B
Long Beach, CA 90807-4013 - Phone
- (562) 233-6770
- NPI assigned
- Jul 18, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5167 | HI | |
| Clinical Social Worker | 1041C0700X | 28009 | CA | Primary |
Addresses
Primary practice location
3605 Long Beach Blvd Ste 330B
Long Beach, CA 90807-4013
Mailing address
1227 Pua Melia St
Kalaheo, HI 96741-8754
Phone (424) 250-8204
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 |
|---|---|---|---|
| 5167 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1376223164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 PUA MELIA ST",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418754",
"telephone_number": "424-250-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD STE 330B",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074013",
"telephone_number": "562-233-6770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOPP",
"first_name": "KATHLEEN",
"middle_name": "CORINNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-18",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "5167",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28009",
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.