Active NPI
Amelia Louise Sims, LCSW
- Clinical Social Worker
- Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW87301
- Practice address
- 1411 N Grand Ave
Covina, CA 91724-1001 - Phone
- (626) 338-9050
- Fax
- (626) 974-8114
- NPI assigned
- Aug 27, 2013
- Last updated
- Feb 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW71487 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW87301 | CA | Primary |
Addresses
Primary practice location
1411 N Grand Ave
Covina, CA 91724-1001
Mailing address
1411 N Grand Ave
Covina, CA 91724-1001
Phone (626) 338-9050
Other practice location 1
7600 E. Graves Ave
Rosemead, CA 91770-3414
Phone (626) 280-6510 ext. 352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW71487 | CA | MD | Social Worker |
| LCSW87301 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Current | Accepting new patients | |
| Soultenders Psychological Services, Inc. | Clinical | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
250 W 1st St
Ste 346
Claremont, CA 91711
Phone (909) 343-4550
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Arcadia, CA
- NPI 1164617007
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1235810722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1811321862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917241001",
"telephone_number": "626-338-9050",
"fax_number": "626-974-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917241001",
"telephone_number": "626-338-9050",
"fax_number": "626-974-8114"
}
],
"practiceLocations": [
{
"address_1": "7600 E. Graves Ave",
"address_purpose": "LOCATION",
"city": "Rosemead",
"state": "CA",
"postal_code": "917703414",
"country_code": "US",
"telephone_number": "626-280-6510 x352",
"fax_number": "626-288-8903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "AMELIA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW71487",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW87301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.