Individual provider Active NPI

Marcia Jean Grace, MSW/LCSW

  • Social Worker
  • Long Beach, CA
National Provider Identifier
1447492723
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS 11033 Issued in CA
Practice address
5855 Naples Plaza
#213
Long Beach, CA 90803-3428
Phone
(562) 883-1807
Fax
(562) 438-2658
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS 11033 CA Primary

Addresses

Primary practice location

5855 Naples Plaza
#213
Long Beach, CA 90803-3428

Mailing address

127 Pomona Ave.
Long Beach, CA 90803-3428
Phone (562) 883-1807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS 11033CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1447492723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 POMONA AVE.",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033428",
            "telephone_number": "562-883-1807",
            "fax_number": "562-438-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 NAPLES PLAZA",
            "address_2": "#213",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908033428",
            "telephone_number": "562-883-1807",
            "fax_number": "562-438-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "MARCIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MSW/LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 11033",
            "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 Apr 1, 2009; 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.