Organization Active NPI

South Bay Counseling & Social Services

  • Clinical Social Worker
  • Harbor City, CA
National Provider Identifier
1700159704
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23563 Issued in CA
Legal business name
SOUTH BAY COUNSELING & SOCIAL SERVICES
Practice address
24328 S. Vermont Ave.
Ste. 212
Harbor City, CA 90710
Phone
(310) 530-9097
Fax
(310) 530-9097
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Miss Sherry J. Glover, LCSW
Title
Owner
Phone
(310) 530-9097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS23563 CA Primary

Addresses

Primary practice location

24328 S. Vermont Ave.
Ste. 212
Harbor City, CA 90710

Mailing address

24328 S. Vermont Ave.
Ste. 212
Harbor City, CA 90710
Phone (310) 530-9097

National Provider Directory

National Provider Directory

Locations

24328 Vermont Ave
Ste 212
Harbor City, CA 90710
Phone (310) 530-9097

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1700159704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24328 S. VERMONT AVE.",
            "address_2": "STE. 212",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-530-9097",
            "fax_number": "310-530-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24328 S. VERMONT AVE.",
            "address_2": "STE. 212",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "310-530-9097",
            "fax_number": "310-530-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY COUNSELING & SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-530-9097",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.