NPIMap

Organization Active NPI

Recovery Now Licensed Clinical Social Work, Inc.

  • Clinical Social Worker
  • Rancho Palos Verdes, CA
National Provider Identifier
1861644759
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21303 Issued in CA
Legal business name
RECOVERY NOW LICENSED CLINICAL SOCIAL WORK, INC.
Practice address
2138 Fairhill Dr
Rancho Palos Verdes, CA 90275-1310
Phone
(310) 508-9531
Fax
(888) 345-6044
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Mrs. Alicia Ann Macgowan, L.C.S.W.NPI 1619157716
Title
Psychotherapist/President
Phone
(310) 508-9531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 21303 CA Primary

Addresses

Primary practice location

2138 Fairhill Dr
Rancho Palos Verdes, CA 90275-1310

Mailing address

916 N Western Ave Ste 205
San Pedro, CA 90732-2435
Phone (310) 508-9531

Other names 1

  • Positive Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081230000115 CA Part B Supplier - Clinic/Group Practice 5597827584 Receives reassigned benefits from 2 practitioners
Practice locations: Rancho Palos Verdes, CA

National Provider Directory

National Provider Directory

Locations

3711 Long Beach Blvd
Ste 5015
Long Beach, CA 90807
Phone (562) 964-6011

916 N Western Ave
Ste 205
San Pedro, CA 90732
Phone (310) 779-3654

916 N Western Ave
San Pedro, CA 90732

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1861644759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 N WESTERN AVE STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907322435",
            "telephone_number": "310-508-9531",
            "fax_number": "888-345-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 FAIRHILL DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751310",
            "telephone_number": "310-508-9531",
            "fax_number": "888-345-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY NOW LICENSED CLINICAL SOCIAL WORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MACGOWAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "310-508-9531",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.