MS. RENEE DE VICQ BA, MSW, LCSW
NPI 1639369275
Social Worker - Clinical in Long Beach, CA

Active since July 30, 2007PECOS Enrolled
2600 REDONDO AVE FL 3, LONG BEACH, CA 90806(562) 599-6476 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Renee De Vicq Ba, Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. RENEE DE VICQ BA, MSW, LCSW (NPI 1639369275) is an individual clinical provider in Long Beach, California, licensed in California (28990) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639369275
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. RENEE DE VICQCredential: BA, MSW, LCSW
Location Address2600 REDONDO AVE FL 3Long Beach, CA 90806-2325
Mailing Address2600 Redondo Ave Fl 3Long Beach, CA 90806-2325 · (562) 256-2900 · Fax (562) 290-0074
Sole ProprietorNo
Enumeration DateJuly 30, 2007
Last NPPES UpdateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
NPI 1639369275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 28990
Definition

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.

2600 REDONDO AVE FL 3, Long Beach, CA 90806

Other Identifiers 1

OtherW2983HCA · Medicare Group

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Renee De Vicq Ba, Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Psychologist (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639369275, enumerated as an "individual" on July 30, 2007.

The provider is located at 2600 REDONDO AVE FL 3 LONG BEACH, CA 90806 and the phone number is (562) 599-6476.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.