Individual provider Active NPI

Alysia Ann St. Clair

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1881263903
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
320 Pine Ave Ste 609
Long Beach, CA 90802-2310
Phone
(562) 279-0180
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

320 Pine Ave Ste 609
Long Beach, CA 90802-2310

Mailing address

PO Box 562
Lomita, CA 90717-0562
Phone (424) 264-8686

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108001939 CA Practitioner - Clinical Social Worker 7719411008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

320 Pine Ave
Suite 609
Long Beach, CA 90802-2310
Phone (562) 279-0180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas and Flatow Medical Corporation CurrentSince Jun 27, 2021 Accepting new patients
Flatow Medical Corporation Apc CurrentSince Sep 12, 2024 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Oct 9, 2025 Accepting new patients

Locations

16485 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (310) 571-5041

320 Pine Ave
Ste 609
Long Beach, CA 90802
Phone (310) 571-5041

2211 Corinth Ave
Ste 300
Los Angeles, CA 90064
Phone (562) 279-0180

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1881263903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907170562",
            "telephone_number": "424-264-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PINE AVE STE 609",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908022310",
            "telephone_number": "562-279-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "ALYSIA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.