Paul Abe
Individual provider Active NPI Clinical Social Worker · Chula Vista, CA
NPI 1871374595 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1871374595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 25887 (CA)
- Practice address
- 855 Bowsprit Rd
Chula Vista, CA 91914-4529 - Phone
- (619) 549-0329
- NPI assigned
- Oct 9, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grow Through Life Counseling, Inc.
Practice addresses (Care Compare)
5820 Oberlin Dr
Suite 112
San Diego, CA 92121-3743
Phone (619) 549-0329
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260204003946 | CA | Practitioner - Clinical Social Worker | 9739668310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Through Life Counseling, Inc. | Clinical | Current |
Accepting new patients |
Locations
855 Bowsprit Rd
Chula Vista, CA 91914
Phone 61954903290
5820 Oberlin Dr
Ste 112
San Diego, CA 92121
Phone 61954903294
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 25887 | CA | Yes |
Addresses
Primary practice location
855 Bowsprit Rd
Chula Vista, CA 91914-4529
Mailing address
855 Bowsprit Rd
Chula Vista, CA 91914-4529
Other providers in Chula Vista, CA
- Yaritsa Alicia Abarca
- Samuel Go Abarte Jr.
- Andrea Abat-Weakley
- Zina A Abbas
- Rachel Anne Abbott
- Babak Abedi
- Abel Cesar Toledo M.D. Inc.
- Abi P&O Inc
- Abigail Gonzalez, Ma, MFT, Inc
- Ability Biomechanics Int'L Inc
All providers in Chula Vista, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.