Organization Active NPI

Ellen R Goldsmith, LCSW, Professional Corporation

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1770868309
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 14676 Issued in CA
Legal business name
ELLEN R GOLDSMITH, LCSW, PROFESSIONAL CORPORATION
Practice address
6615 E Pacific Coast Hwy
Suite 190
Long Beach, CA 90803-4211
Phone
(562) 708-6778
Fax
(562) 431-1852
NPI assigned
Oct 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Ellen R Goldsmith, MSW, LCSWNPI 1366658262
Title
Owner/President
Phone
(562) 708-6778

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 LCSW 14676 CA Primary

Addresses

Primary practice location

6615 E Pacific Coast Hwy
Suite 190
Long Beach, CA 90803-4211

Mailing address

6615 E Pacific Coast Hwy
Suite 190
Long Beach, CA 90803-4211
Phone (562) 708-6778

National Provider Directory

National Provider Directory

Locations

6615 E Pacific Coast Hwy
Ste 190
Long Beach, CA 90803
Phone (562) 708-6778

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": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1770868309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 190",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-708-6778",
            "fax_number": "562-431-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE 190",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-708-6778",
            "fax_number": "562-431-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN R GOLDSMITH, LCSW, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "562-708-6778",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 14676",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 21, 2014; 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.