Individual provider Active NPI

Valerie Adel Wilson-Lindberg, L.C.S.W

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1548588155
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS21429 Issued in CA
Practice address
5500 E Atherton St
Ste 225
Long Beach, CA 90815-4017
Phone
(562) 233-2526
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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 LCS21429 CA Primary

Addresses

Primary practice location

5500 E Atherton St
Ste 225
Long Beach, CA 90815-4017

Mailing address

3549 Knoxville Ave
Long Beach, CA 90808-2914
Phone (562) 233-2526

Other practice location 1

5500 E Atherton St
Ste 225
Long Beach, CA 90815-4017
Phone (562) 233-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000436 CA Practitioner - Clinical Social Worker 2062640428 Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS21429CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1548588155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 KNOXVILLE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082914",
            "telephone_number": "562-233-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 E ATHERTON ST",
            "address_2": "STE 225",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154017",
            "telephone_number": "562-233-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 E ATHERTON ST",
            "address_2": "STE 225",
            "address_purpose": "LOCATION",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154017",
            "country_code": "US",
            "telephone_number": "562-233-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-LINDBERG",
        "first_name": "VALERIE",
        "middle_name": "ADEL",
        "credential": "L.C.S.W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.