Organization Active NPI

Social Model Recovery Systems, Inc.

Doing business as NCADD of ESG & PV

  • Community/Behavioral Health Agency
  • Covina, CA
National Provider Identifier
1417261983
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOCIAL MODEL RECOVERY SYSTEMS, INC.
Doing business as
NCADD of ESG & PV
National Council on Alcoholism and Drug Dependence Covina
Practice address
4626 North Grand Ave
Covina, CA 91724-2055
Phone
(626) 331-5316
Fax
(626) 332-2219
NPI assigned
Jul 27, 2010
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOCIAL MODEL RECOVERY SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Lynetta Louise Hale, MA, LMFT, LPTNPI 1801920285
Title
Senior Director, Clinical Services
Phone
(626) 332-3145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4626 North Grand Ave
Covina, CA 91724-2055

Mailing address

4626 N Grand Ave
Covina, CA 91724-2055
Phone (626) 331-5316

Other names 2

  • NCADD of ESG & PV Doing business as
  • National Council on Alcoholism and Drug Dependence Covina Doing business as

National Provider Directory

National Provider Directory
Tax ID family
National Council on Alcoholism and Drug Dependence of East S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4626 N Grand Ave
Covina, CA 91724
Phone (626) 331-5316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1417261983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242055",
            "telephone_number": "626-331-5316",
            "fax_number": "626-332-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 NORTH GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242055",
            "telephone_number": "626-331-5316",
            "fax_number": "626-332-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL MODEL RECOVERY SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOCIAL MODEL RECOVERY SYSTEMS, INC.",
        "enumeration_date": "2010-07-27",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LYNETTA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "626-332-3145",
        "authorized_official_credential": "MA, LMFT, LPT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCADD of ESG & PV",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Council on Alcoholism and Drug Dependence Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.