Individual provider Active NPI

Debra Ludowe, LMSW, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1902080948
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 27956 Issued in CA
Practice address
5901 East 7TH St.
VA Long Beach Health Care System
Long Beach, CA 90822
Phone
(562) 826-8000
Fax
(562) 826-5580
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 27956 CA Primary
Clinical Social Worker 1041C0700X 6801085582 MI

Addresses

Primary practice location

5901 East 7TH St.
VA Long Beach Health Care System
Long Beach, CA 90822

Mailing address

5901 East 7TH St.
VA Long Beach Health Care System
Long Beach, CA 90822
Phone (562) 826-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27956CAMDPsychologist
LCS 27956CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1902080948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 EAST 7TH ST.",
            "address_2": "VA LONG BEACH HEALTH CARE SYSTEM",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 EAST 7TH ST.",
            "address_2": "VA LONG BEACH HEALTH CARE SYSTEM",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDOWE",
        "first_name": "DEBRA",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27956",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.