Organization Active NPI

LV Patterson LLC

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1396495941
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LV PATTERSON LLC
Practice address
512 Redondo Ave # C-1
Long Beach, CA 90814-1552
Phone
(213) 675-9016
NPI assigned
Mar 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Lenwood Patterson, SOCIAL WORKERNPI 1831387067
Title
Owner
Phone
(213) 675-9016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

512 Redondo Ave # C-1
Long Beach, CA 90814-1552

Mailing address

1900 E Ocean Blvd Apt 1406
Long Beach, CA 90802-6139
Phone (213) 675-9016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220826000822 CA Part B Supplier - Clinic/Group Practice 3274917109 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

1703 Termino Ave
Ste 105
Long Beach, CA 90804
Phone (213) 675-9016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1396495941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E OCEAN BLVD APT 1406",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908026139",
            "telephone_number": "213-675-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 REDONDO AVE # C-1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141552",
            "telephone_number": "213-675-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV PATTERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "LENWOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-675-9016",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.