Sistahpeace Reshaping Wellbalance CC Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 27091 Issued in CA

Legal business name

SISTAHPEACE RESHAPING WELLBALANCE CC SERVICES

Practice address

3939 Atlantic Ave
# 208
Long Beach, CA 90807-3536

Phone

(562) 498-3318

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Ms. A. Asungi, L.C.S.W.

Title

Owner/Clinical Therapist

Phone

(562) 498-3318

Specialties & licenses 3

Addresses

Other names 1

• SRWCCS Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1376891630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE",
            "address_2": "# 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073536",
            "telephone_number": "562-498-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 ATLANTIC AVE",
            "address_2": "# 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073536",
            "telephone_number": "562-498-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTAHPEACE RESHAPING WELLBALANCE CC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "ASUNGI",
        "authorized_official_first_name": "A.",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "562-498-3318",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LCS 27091",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 27091",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRWCCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra Min Siow
• Ruth Sipple
• Katherine Siracusa, OTD/L
• Lourdes Flores Sison, M.D.
• Vikavatdei Leslie Sisowath, OTR/L
• Maryann Siu Ornelas, NP
• Krystal Lynda Siu
• Tony Siv
• Liliana Sivitos
• Chad T Sjule, RAC

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2012; 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.