Organization Active NPI

Pier View Counseling, a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Vista, CA
National Provider Identifier
1861886475
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 27399 Issued in CA
Legal business name
PIER VIEW COUNSELING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
707 Civic Center Dr
Suite 106
Vista, CA 92084-6160
Phone
(760) 576-5822
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Ms. Lydia Lombardi Good, LCSW, BCDNPI 1508391608
Title
Owner
Phone
(760) 576-5822

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 LCS 27399 CA Primary

Addresses

Primary practice location

707 Civic Center Dr
Suite 106
Vista, CA 92084-6160

Mailing address

707 Civic Center Dr
Suite 106
Vista, CA 92084-6160
Phone (760) 576-5822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170804001806 CA Part B Supplier - Clinic/Group Practice 1456622760 Receives reassigned benefits from 1 practitioner
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Locations

2103 S El Camino Real
Ste 101A
Oceanside, CA 92054
Phone (760) 576-5822

707 Civic Center Dr
Ste 106
Vista, CA 92084
Phone (760) 576-5822

169 Cedar Rd
Vista, CA 92083
Phone (760) 213-5995

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1861886475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CIVIC CENTER DR",
            "address_2": "SUITE 106",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846160",
            "telephone_number": "760-576-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CIVIC CENTER DR",
            "address_2": "SUITE 106",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846160",
            "telephone_number": "760-576-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIER VIEW COUNSELING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "GOOD",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "LOMBARDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-576-5822",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.