Individual provider Active NPI

Amelia Louise Sims, LCSW

  • Clinical Social Worker
  • Covina, CA
National Provider Identifier
1811321862
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW87301 Issued in CA
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002474 CA Practitioner - Clinical Social Worker 1759782436 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW71487CAMDSocial Worker
LCSW87301CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders, Inc. CurrentSince Mar 5, 2021 Accepting new patients
Soultenders Psychological Services, Inc. Clinical CurrentSince Jul 1, 2026 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.

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

Verify at the official NPI Registry.