Individual provider Active NPI

Kimberely Beeli, LCSW

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1922409556
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW21397 Issued in CA
Practice address
5479 E Abbeyfield St
Suite 3
Long Beach, CA 90815-3050
Phone
(714) 396-0391
Fax
(562) 498-5909
NPI assigned
Sep 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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 LCSW21397 CA Primary

Addresses

Primary practice location

5479 E Abbeyfield St
Suite 3
Long Beach, CA 90815-3050

Mailing address

5479 E Abbeyfield St
Suite 3
Long Beach, CA 90815-3050
Phone (562) 498-5900

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
I20200402001037 CA Practitioner - Clinical Social Worker 3577992163 Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5479 E Abbeyfield St
Suite 3
Long Beach, CA 90815-3050
Phone (562) 498-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW21397CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeyfield Psychotherapy Inc Clinical PastSince Mar 27, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1922409556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5479 E ABBEYFIELD ST",
            "address_2": "SUITE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153050",
            "telephone_number": "562-498-5900",
            "fax_number": "562-498-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5479 E ABBEYFIELD ST",
            "address_2": "SUITE 3",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153050",
            "telephone_number": "714-396-0391",
            "fax_number": "562-498-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELI",
        "first_name": "KIMBERELY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW21397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.