Individual provider Active NPI

Carol Elizabeth Seixas, L.C.S.W.

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1407011372
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 21390 Issued in CA
Practice address
3815 Atlantic Ave Ste 1
Long Beach, CA 90807-3500
Phone
(562) 595-4122
NPI assigned
Jul 21, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 21390 CA Primary
Mental Health Counselor 101YM0800X LCS 213 CA
Marriage & Family Therapist 106H00000X LCS 23190 CA

Addresses

Primary practice location

3815 Atlantic Ave Ste 1
Long Beach, CA 90807-3500

Mailing address

3815 Atlantic Ave Ste 1
Long Beach, CA 90807-3500
Phone (562) 595-4122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420001425 CA Practitioner - Clinical Social Worker 7214982875 Practice locations: San Pedro, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1891 N Gaffey St
Suite 230
San Pedro, CA 90731-1270
Phone (310) 831-1967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 213CAMDMental Health Counselor
LCS 21390CAMDClinical Social Worker
LCS 23190CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1407011372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-595-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 ATLANTIC AVE STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073500",
            "telephone_number": "562-595-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIXAS",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21390",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 213",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LCS 23190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.