Active NPI
Hila Raen Licensed Clinical Social Worker Inc.
- Clinical Social Worker
- Newport Beach, CA
National Provider Identifier
1649909888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HILA RAEN LICENSED CLINICAL SOCIAL WORKER INC.
- Practice address
- 5000 Birch St West Tower
Ste 3000
Newport Beach, CA 92660-9266 - Phone
- (949) 529-1903
- Fax
- (949) 576-3913
- NPI assigned
- Jun 5, 2022
- 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
- Hila Raen, LCSW
- Title
- Ceo
- Phone
- (949) 501-2296
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
5000 Birch St West Tower
Ste 3000
Newport Beach, CA 92660-9266
Mailing address
2 Flagstone Apt 834
Irvine, CA 92606-7684
Phone (949) 501-2296
Other practice location 1
180 E Main St Ste 203
Tustin, CA 92780-4414
Phone (877) 421-1711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 384995 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
180 E Main St
Ste 203
Tustin, CA 92780
Phone (877) 421-1711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Irvine, CA
- NPI 1124251723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682208000000",
"number": "1649909888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FLAGSTONE APT 834",
"city": "IRVINE",
"state": "CA",
"postal_code": "926067684",
"telephone_number": "949-501-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 BIRCH ST WEST TOWER",
"address_2": "STE 3000",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926609266",
"telephone_number": "949-529-1903",
"fax_number": "949-576-3913"
}
],
"practiceLocations": [
{
"address_1": "180 E Main St Ste 203",
"address_purpose": "LOCATION",
"city": "Tustin",
"state": "CA",
"postal_code": "927804414",
"country_code": "US",
"telephone_number": "877-421-1711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HILA RAEN LICENSED CLINICAL SOCIAL WORKER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-05",
"last_updated": "2023-04-23",
"certification_date": "2023-04-23",
"status": "A",
"authorized_official_last_name": "RAEN",
"authorized_official_first_name": "HILA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-501-2296",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "384995",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.