Individual provider Active NPI

Cornelia Verna Mathilde Seiffert, LCSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1821576828
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104102 Issued in CA
Practice address
1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052
Phone
(323) 886-2417
Fax
(626) 565-1565
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 81461 CA
Social Worker 104100000X 81461 CA
Clinical Social Worker 1041C0700X 104102 CA Primary

Addresses

Primary practice location

1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052

Mailing address

PO Box 94431
Pasadena, CA 91109-4431
Phone (323) 886-2417

Other practice location 1

4221 Wilshire Blvd Ste 230
Los Angeles, CA 90010-3554
Phone (213) 441-6780 ext. 745

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
I20201029001997 CA Practitioner - Clinical Social Worker 9931519188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Pasadena, CA 91103
Phone (323) 886-2417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81461CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelia Seiffert, LCSW, a Licensed Clinical Social Worker Corporation Clinical CurrentSince Nov 28, 2023 Accepting new patients
Morris Psychological, Inc. PastSince Apr 20, 2021 Accepting new patients

Locations

1820 W Orangewood Ave
Ste 105
Orange, CA 92868
Phone (562) 230-5899

16 S Oakland Ave
Ste 208
Pasadena, CA 91101
Phone (323) 886-2417

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1821576828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94431",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911094431",
            "telephone_number": "323-886-2417",
            "fax_number": "626-565-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685052",
            "telephone_number": "323-886-2417",
            "fax_number": "626-565-1565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Wilshire Blvd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103554",
            "country_code": "US",
            "telephone_number": "213-441-6780 x745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIFFERT",
        "first_name": "CORNELIA",
        "middle_name": "VERNA MATHILDE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "81461",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "81461",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.