Active NPI
Paula Jean Phelps, LCSW
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1598969255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS190502
- Practice address
- 4690 Atlantic Ave
Long Beach, CA 90807-1504 - Phone
- (562) 706-0759
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS190502 | CA | Primary |
Addresses
Primary practice location
4690 Atlantic Ave
Long Beach, CA 90807-1504
Mailing address
4690 Atlantic Ave
Long Beach, CA 90807-1504
Phone (562) 706-0759
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS190502 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1598969255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4690 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908071504",
"telephone_number": "562-706-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4690 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908071504",
"telephone_number": "562-706-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "PAULA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS190502",
"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 Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.