Healing Partners, Licensed Clinical Social Worker Apc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALING PARTNERS, LICENSED CLINICAL SOCIAL WORKER APC

Practice address

20 Corporate Park Ste 220
Irvine, CA 92606-3111

Phone

(949) 345-0559

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Quynh CHI Mai Pham, LCSWNPI 1982008314

Title

Licensed Clinical Social Worker/Ceo

Phone

(714) 725-9583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Quynh-CHI Mai Pham

  • Clinical Social Worker
  • Santa Ana, CA
  • NPI 1982008314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1578214276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12082 FIREBRAND ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404101",
            "telephone_number": "714-725-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CORPORATE PARK STE 220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063111",
            "telephone_number": "949-345-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PARTNERS, LICENSED CLINICAL SOCIAL WORKER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "QUYNH CHI",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "714-725-9583",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Elyce-Wilson Hays, DC
• Ming He
• Jessica Head, BA
• Kinsey Lynn-Marie Head
• Heidi Nanette Headding, LMFT
• Healing Tree Clinic
• Healing Tree Medical Management, Inc. (Healing Tree Alternative Center)
• Health Care Agency
• Health Psychology Associates (Healing From Within)
• Health Solutions Diagnostic Inc

• Clinical Social Worker in Irvine, CA
• Providers in Irvine, 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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.