Active NPI
Lisa Diane Flores, LCSW
- Social Worker
- Huntington Beach, CA
National Provider Identifier
1962670133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24093
- Practice address
- 5762 Bolsa Ave
Huntington Beach, CA 92649-1172 - Phone
- (714) 898-0362
- NPI assigned
- Feb 11, 2008
- 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 | 24093 | CA | Primary |
Addresses
Primary practice location
5762 Bolsa Ave
Huntington Beach, CA 92649-1172
Mailing address
264 Ginevra Walk
Long Beach, CA 90803-4122
Phone (562) 370-7595
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism 360 Support LLC | Past | Accepting new patients | |
| Associated Therapists, Inc. | Social Worker | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Huntington Beach, CA
- NPI 1639802382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1962670133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 GINEVRA WALK",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908034122",
"telephone_number": "562-370-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5762 BOLSA AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926491172",
"telephone_number": "714-898-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "LISA",
"middle_name": "DIANE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "24093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.