JANICE DERDERIAN LICENSED CLINICAL SOCIAL WORKER INC
NPI 1700072717
Social Worker - Clinical in Seal Beach, CA

NPI Status: Active since September 24, 2007

Contact Information

1661 GOLDEN RAIN RD
SEAL BEACH, CA
ZIP 90740
Phone: (562) 795-6300

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  • Organization
  • Social Worker
  • Clinical

About JANICE DERDERIAN LICENSED CLINICAL SOCIAL WORKER INC

This page provides the complete NPI Profile along with additional information for Janice Derderian Licensed Clinical Social Worker Inc, a provider established in Seal Beach, California operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1700072717 assigned on September 2007. The practitioner's primary taxonomy code is 1041C0700X with license number SW7388 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Janice Derderian Lcsw (Owner)

NPI
1700072717
Provider Name
JANICE DERDERIAN LICENSED CLINICAL SOCIAL WORKER INC
Entity Type
Organization
Location Address
1661 GOLDEN RAIN RD SEAL BEACH, CA 90740
Location Phone
(562) 795-6300
Mailing Address
PO BOX 2685 SEAL BEACH, CA 90740
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2007
Last Update Date
09-24-2007
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A clinical social worker like Janice Derderian Licensed Clinical Social Worker Inc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
SW7388
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JANICE DERDERIAN LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(562) 795-6300

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W18558MEDICARE PIN (08) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700072717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270007472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 0 + 7 + 4 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1700072717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699777292 PRAKASH NARAIN MD
Individual
Internal Medicine (Geriatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1043279359 ELLEN DAYON MD
Individual
Internal Medicine (Geriatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1083674709 MARY B SHERMAN MD
Individual
Internal Medicine (Geriatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1093901092CHRISTOPHER PHUONG NGUYEN MD INC
Organization
Internal Medicine (Geriatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 795-6300
1962651059 BARBARA SUE ZONDERVAN PT
Individual
Physical Therapist1661 GOLDEN RAIN RD BLDG D, #401
SEAL BEACH, CA 90740
(562) 795-6217
1669614285PRAKASH NARAIN, MD, INC
Organization
Internal Medicine (Geriatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1518197508LOS ALAMITOS CENTER, INC
Organization
Clinic/Center (Primary Care)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1700271418DR. JILL T. SMITTLE, OPTOMETRY, INC.
Organization
Optometrist1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 795-6227
1669669222LEE S BERMAN OD INC
Organization
Optometrist1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(949) 933-7301
1245531425DR LEE S BERMAN OPTOMETRY INC
Organization
Optometrist1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(949) 933-7301
1457381717LEISURE WORLD MEDICAL GROUP, INC
Organization
Internal Medicine (Geriatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 795-6300
1053472407DR. JILL TERRY SMITTLE OD
Individual
Optometrist1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 795-6227
1245690791 YOONIE HYUNJUNG JO FNP
Individual
Nurse Practitioner (Family)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1558441402DR. DOUGLAS LAWRENCE MCCUNE DPM
Individual
Podiatrist (Primary Podiatric Medicine)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 795-6210
1770691750L. WAYNE FREEMAN M.D., INC
Organization
Ophthalmology1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 799-2020
1104939990DR. SOPHIA CHUN MD
Individual
Internal Medicine1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1578957049 CHRISTOPHER CHUNG
Individual
Family Medicine1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581
1073113569UNITED MEDICAL IMAGING HEALTHCARE, INC.
Organization
Clinic/Center (Radiology)1661 GOLDEN RAIN RD SUITE# RADIOLOGY
SEAL BEACH, CA 90740
(562) 795-6314
1174981583MEDCARE MEDICAL RX INC
Organization
Pharmacy (Community/Retail Pharmacy)1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(714) 557-2982
1003855313DR. DAVID RAE PARK MD
Individual
Family Medicine1661 GOLDEN RAIN RD
SEAL BEACH, CA 90740
(562) 493-9581

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700072717, enumerated in the NPI registry as an "organization" on September 24, 2007

The provider is located at 1661 Golden Rain Rd Seal Beach, Ca 90740 and the phone number is (562) 795-6300

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.