Active NPI
Betty N Jorgenson, LCSW
- Social Worker
- Los Alamitos, CA
National Provider Identifier
1891867230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW4693
- Practice address
- 4332 Cerritos Ave
Suite 101
Los Alamitos, CA 90720-2557 - Phone
- (562) 434-7868
- Fax
- (562) 434-7868
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW4693 | CA | Primary |
Addresses
Primary practice location
4332 Cerritos Ave
Suite 101
Los Alamitos, CA 90720-2557
Mailing address
4332 Cerritos Ave
Suite 101
Los Alamitos, CA 90720-2557
Phone (562) 434-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 5, 2026 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4693 | CA | MD | Psychologist |
| LCSW4693 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891867230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4332 CERRITOS AVE",
"address_2": "SUITE 101",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202557",
"telephone_number": "562-434-7868",
"fax_number": "562-434-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4332 CERRITOS AVE",
"address_2": "SUITE 101",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202557",
"telephone_number": "562-434-7868",
"fax_number": "562-434-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORGENSON",
"first_name": "BETTY",
"middle_name": "N",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "LCSW4693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Alamitos, CA
- Lauren Michele Johnson, PT, DPT
- Wayne Edward Johnson, O.D.
- Janet Renee Johnston
- Jonathan Go DO Inc
- Dominique Jorgensen
- Joseph Posard, Licensed Clinical Social Worker Inc.
- Joseph T. Nguyen, M.D., Inc.
- Denise Pauline Joseph-Brown, M.D.
- Joyful Care Caregiving Services, Inc.
- Joyful Hearts Home Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.