JACLYN DELONG (NPI# 1467908889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467908889 |
| Entity Type | Individual |
| Full Name | JACLYN DELONG |
| Credential | LCSW |
| Practice Address |
121 S Long Beach Blvd Compton CA 90221-3423 |
| Practice Telephone | 3106275850 |
| Mailing Telephone | 3106275850 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0007954 | CO | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
NLC.0105727 | CO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
88755 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 84902248 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2560 W 29th Ave, Denver, CO 802113712 | 3034778280 |
| Street Address |
121 S LONG BEACH BLVD |
| City | COMPTON |
| State | CA |
| Zip Code | 90221-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063625424 | Samuel D. Benjamin | Family Medicine | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2007-05-08 |
| 1992358956 | Rebecca Miriam Portner | Social Worker | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2019-07-18 |
| 1508278359 | The Roads Foundation, Inc. | Clinic/Center | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2014-05-28 |
| 1225209836 | Benedicta Ngozi Ilouno | Nurse Practitioner | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2008-03-23 |
| 1124220488 | Anthonia Chileme Ogele | Pediatrics | 121 S Long Beach Blvd, Compton, CA 90221-3423 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448313 | Yong Wung Yoo | Acupuncturist | 2787 E. Del Amo Blvd, G-1, Rancho Dominguez, CA 90221 | 2018-12-07 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1821528175 | Jataja Patterson | Behavior Technician | 15531 South Gibson Avenue, Compton, CA 90221 | 2017-06-19 |
| 1316318439 | Yuin University | Health Maintenance Organization | 2007 E Compton Blvd, Compton, CA 90221 | 2015-10-15 |
| 1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
| 1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1558671222 | Joyce Redor Lim | Adult Companion | 1680 Tartar Lane, 22, Compton, CA 90221 | 2010-10-15 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in zip 90221 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101125 | Rihana Acklin | Social Worker | 625 W Laurel St, Compton, CA 90220-3629 | 2018-04-14 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1659715092 | Jennifer Lynne Van Loy | Social Worker | 3209 N Alameda St Ste J&k, Compton, CA 90222-1406 | 2013-04-27 |
| 1235434226 | Ramona R Stevens | Social Worker | 322 W Compton Blvd Ste 203, Compton, CA 90220-6636 | 2011-01-21 |
| 1760795538 | Andrew Browne | Social Worker | 901 W Victoria St # Fg, Compton, CA 90220-5807 | 2010-07-21 |
| 1609103043 | Enelida Alvarez | Social Worker | 1612 W 145th St, Compton, CA 90220-1431 | 2009-11-05 |
| 1689795528 | Tina Rene Williams | Social Worker | 318 W Palmer St, Compton, CA 90220-2107 | 2007-04-02 |
| 1871610964 | Deborah Lambert | Social Worker | 901 W, Victoria Street, Ste. F&g, Compton, CA 90220-3110 | 2007-03-23 |
| 1376688226 | Pamela C Robertson | Social Worker | 1085 W Victoria St, Compton, CA 90220-5804 | 2007-02-20 |
| 1366513012 | Krystal Mi'chal Gordon | Social Worker | 546 W Compton Blvd, Compton, CA 90220-3011 | 2006-11-13 |
| Find all providers in COMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.