Organization Active NPI

Hila Raen Licensed Clinical Social Worker Inc.

  • Clinical Social Worker
  • Newport Beach, CA
National Provider Identifier
1649909888
Registry record updated Apr 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Apr 23, 2023

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

Authorized official

Name
Hila Raen, LCSWNPI 1124251723
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
384995MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.