Organization Active NPI

Advantagecare, a Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Huntington Beach, CA
National Provider Identifier
1609387158
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70498 Issued in CA
Legal business name
ADVANTAGECARE, A LICENSED CLINICAL SOCIAL WORKER PC
Practice address
419 Main St Ste 414
Huntington Beach, CA 92648-5199
Phone
(714) 916-6668
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Elizabeth Valenzuela, LCSWNPI 1407263155
Title
Ceo
Phone
(714) 916-6668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 70498 CA Primary

Addresses

Primary practice location

419 Main St Ste 414
Huntington Beach, CA 92648-5199

Mailing address

419 Main St Ste 414
Huntington Beach, CA 92648-5199
Phone (714) 916-6668

Other names 3

  • AdvantageCareh2h.com Doing business as
  • Advantagecare Integrated Behavioral Health Services Doing business as
  • PsychSource Doing business as

National Provider Directory

National Provider Directory

Locations

419 Main St
Ste 414
Huntington Beach, CA 92648
Phone (714) 916-6668

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1609387158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MAIN ST STE 414",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485199",
            "telephone_number": "714-916-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MAIN ST STE 414",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485199",
            "telephone_number": "714-916-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGECARE, A LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-916-6668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AdvantageCareh2h.com",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advantagecare Integrated Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PsychSource",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.