Elizabeth Ann Eastlund, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS24505 Issued in CA

Practice address

453 W 7TH St
San Pedro, CA 90731-3207

Phone

(310) 719-5686

Fax

(310) 548-0611

NPI assigned

Feb 27, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1457591679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 S KERCKHOFF AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316518",
            "telephone_number": "310-719-5686",
            "fax_number": "310-519-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313207",
            "telephone_number": "310-719-5686",
            "fax_number": "310-548-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTLUND",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Martinez DC
• Valerie Ann Dy
• East West Healing Arts
• East-West Eye Institute a Medical Corporation
• Jenna Nicole East, CCC-SLP
• Agnes L Ebbah
• Chelsea Deborah Edgecumbe, IMF
• Ja Lyn Nicole Edison
• Holly Edmonds
• Caren Eisenstein, MSW

• Clinical Social Worker in San Pedro, CA
• Providers in San Pedro, 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 May 27, 2010; 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.