Individual provider Active NPI

Kathleen Corinne Sopp, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1376223164
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28009 Issued in CA
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

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5167HIMDClinical 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.

Verify at the official NPI Registry.