Individual provider Active NPI

Pauline Patricia Ward, L.C.S.W.

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1518163229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS15109 Issued in CA
Practice address
3801 E Willow St
Jewish Family & Children Services
Long Beach, CA 90815-1734
Phone
(562) 427-7916
Fax
(562) 427-7910
NPI assigned
Jun 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS15109 CA Primary

Addresses

Primary practice location

3801 E Willow St
Jewish Family & Children Services
Long Beach, CA 90815-1734

Mailing address

275 Clipper Way
Seal Beach, CA 90740-5955
Phone (562) 431-6158

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS15109CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Childrens Service Long Beach Clinical Past Accepting new patients
Jewish Family & Children's Service Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518163229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CLIPPER WAY",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405955",
            "telephone_number": "562-431-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E WILLOW ST",
            "address_2": "JEWISH FAMILY & CHILDREN SERVICES",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151734",
            "telephone_number": "562-427-7916",
            "fax_number": "562-427-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "PAULINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS15109",
            "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 Jul 8, 2007; 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.