Active NPI
Anchored Hope Therapy, Licensed Clinical Social Worker
Doing business as Anchored Hope Therapy
- Clinical Social Worker
- Norwalk, CA
National Provider Identifier
1629639794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ANCHORED HOPE THERAPY, LICENSED CLINICAL SOCIAL WORKER
- Doing business as
- Anchored Hope Therapy
- Practice address
- 11255 Fairford Ave
Norwalk, CA 90650-7630 - Phone
- (562) 895-1767
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susie Youssef, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (562) 895-1767
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11255 Fairford Ave
Norwalk, CA 90650-7630
Mailing address
11255 Fairford Ave
Norwalk, CA 90650-7630
Phone (562) 895-1767
Other names 1
- Anchored Hope Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- San Bernardino, CA
- NPI 1396150595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561593600000",
"number": "1629639794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11255 FAIRFORD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906507630",
"telephone_number": "562-895-1767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11255 FAIRFORD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906507630",
"telephone_number": "562-895-1767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHORED HOPE THERAPY, LICENSED CLINICAL SOCIAL WORKER",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A",
"authorized_official_last_name": "YOUSSEF",
"authorized_official_first_name": "SUSIE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "562-895-1767",
"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": [
{
"organization_name": "Anchored Hope Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.