Lorraine Ibold, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22378 Issued in CA

Practice address

505 N Tustin Ave Ste 134
Santa Ana, CA 92705-3712

Phone

(714) 541-4921

Fax

(714) 541-4925

NPI assigned

Jul 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lorraine Perez-Ibold Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lorraine Ibold, LCSW Counseling

  • Health Service Clinic/Center
  • Santa Ana, CA
  • NPI 1720642192
  NPD

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1427079573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN AVE STE 134",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053712",
            "telephone_number": "714-541-4921",
            "fax_number": "714-541-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN AVE STE 134",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053712",
            "telephone_number": "714-541-4921",
            "fax_number": "714-541-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBOLD",
        "first_name": "LORRAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "PEREZ-IBOLD",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, 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 Sep 26, 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.