Active NPI
Deron Mason Haskins, M.A., R.A.S.
- Social Worker
- Long Beach, CA
National Provider Identifier
1689719965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LBSW# 21021
- Practice address
- 100 E Wardlow Rd
Long Beach, CA 90807-4417 - Phone
- (562) 427-6818
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CERT# H0412241242 | CA | |
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | LBSW# 21021 | TX | Primary |
Addresses
Primary practice location
100 E Wardlow Rd
Long Beach, CA 90807-4417
Mailing address
731 W 148TH St
Gardena, CA 90247-2717
Phone (310) 217-9338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23706 | Other | CA | DV COUNSELOR |
| H0412241242 | Other | CA | REGISTERED ADDICTION SPEC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CERT# H0412241242 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LBSW# 21021 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689719965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 W 148TH ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902472717",
"telephone_number": "310-217-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E WARDLOW RD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074417",
"telephone_number": "562-427-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKINS",
"first_name": "DERON",
"middle_name": "MASON",
"name_prefix": "Mr.",
"credential": "M.A., R.A.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CERT# H0412241242",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "LBSW# 21021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DV COUNSELOR",
"identifier": "23706",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED ADDICTION SPEC",
"identifier": "H0412241242",
"state": "CA"
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.