Active NPI
Elizabeth Reisler, LCSW
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1831434778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW80465
- Practice address
- 100 W Walnut St Ste 375
Pasadena, CA 91124-2048 - Phone
- (626) 395-7000
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW34736 | CA | |
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | LCSW80465 | CA | Primary |
Addresses
Primary practice location
100 W Walnut St Ste 375
Pasadena, CA 91124-2048
Mailing address
100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Other names 1
- Beth Reisler
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 |
|---|---|---|---|
| ASW34736 | CA | MD | Mental Health Counselor |
| LCSW80465 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soultenders, Inc. | Mental Health | Current | Accepting new patients |
Locations
41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249
1605 Hope St
Ste 350
South Pasadena, CA 91030
Phone (626) 414-5606
Organizations & group practices 1
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": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1831434778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W WALNUT ST STE 375",
"city": "PASADENA",
"state": "CA",
"postal_code": "911240001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W WALNUT ST STE 375",
"city": "PASADENA",
"state": "CA",
"postal_code": "911242048",
"telephone_number": "626-395-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISLER",
"first_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW34736",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW80465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "REISLER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, CA
- William Henry Reilly III, CADC II-CA
- Melanie Beth Reims-Anderson, PSYD
- Lois Reinke, M.S.,C.C.C.
- Sara Elisabeth Reinosa
- Christopher Joseph Reinoso
- Reliable Diagnostics Services, Inc.
- Relieve Home Health Inc
- Lawrence Rudolph Rendek V
- Renewed Life Treatment Center. Inc
- Renewed Minds Nursing Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.