Active NPI
Eugenie Boiadjieva, L.C.S.W.
- Clinical Social Worker
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 21744
- Practice address
- 100 W Broadway Ste 5010
Long Beach, CA 90802-9409 - Phone
- (562) 260-5197
- NPI assigned
- Mar 30, 2007
- Last updated
- Feb 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 21744 | CA | Primary |
Addresses
Primary practice location
100 W Broadway Ste 5010
Long Beach, CA 90802-9409
Mailing address
3702 Almeria St
San Pedro, CA 90731-6412
Phone (562) 285-0149
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2138 Fairhill Dr
Rancho Palos Verdes, CA 90275-1310
Phone (310) 957-2099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 21744 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health America of Los Angeles | Current | Accepting new patients | |
| Mental Health America of Los Angeles | Current | Accepting new patients | |
| Recovery Now Licensed Clinical Social Work, Inc. | Clinical | Current | Accepting new patients |
Locations
100 W Broadway
Ste 5010
Long Beach, CA 90802
1955 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 533-4942
916 N Western Ave
Ste 210
San Pedro, CA 90732
Phone (310) 776-7406
Organizations & group practices 4
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.
-
dba Positive Counseling Center
- Clinical Social Worker
- Rancho Palos Verdes, CA
- NPI 1861644759
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1003138009
-
dba MHA -TAY Academy
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1396861225
-
dba MHA Antelope Valley
- Community/Behavioral Health Agency
- Lancaster, CA
- NPI 1578689402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1841310240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 ALMERIA ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907316412",
"telephone_number": "562-285-0149",
"fax_number": "562-285-0156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W BROADWAY STE 5010",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908029409",
"telephone_number": "562-260-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOIADJIEVA",
"first_name": "EUGENIE",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 21744",
"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 Feb 6, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.