Active NPI
Debra Ludowe, LMSW, LCSW
- Clinical Social Worker
- Long Beach, CA
National Provider Identifier
1902080948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 27956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 27956 | CA | MD | Psychologist |
| LCS 27956 | CA | MD | Clinical 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.