Codi Benologa Licensed Clinical Social Worker Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC

Practice address

4195 N Viking Way Ste 333
Long Beach, CA 90808-1466

Phone

(562) 568-9005

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Codi Jo Benologa, LCSWNPI 1932559556

Title

Owner/Director

Phone

(480) 221-4972

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Codi Jo Benologa, LSCSW

  • Clinical Social Worker
  • Manhattan, KS
  • NPI 1932559556
  NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1578148805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY STE 333",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081466",
            "telephone_number": "562-568-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY STE 333",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081466",
            "telephone_number": "562-568-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "BENOLOGA",
        "authorized_official_first_name": "CODI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "480-221-4972",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Helena Cobo, M.D.
• Christine Yvette Cobos
• Mark Edward Cocchi, D.D.S.
• Taylor Cochran
• Tamara Louise Codd, REGISTERED NURSE
• Jude Codilla
• Mary Joy Codilla
• Cheyenne Cody
• Morigan Shanee Brensh Coffee
• William Cofield Hopkins

• Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.