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

Active since July 30, 2007
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: August 16, 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.

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
Phone(562) 599-6476
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
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Other Identifiers 1

OtherW2983HCA · Medicare Group

Other Providers at the Same Location NPPES 20

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

YESSENIA ESMERALDA AREVALO
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 259-2900
TRAYVONE WALLER ACSW MSW
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 599-9280
JEREMIAH DO RN
Registered Nurse (Psychiatric/Mental Health)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2900
CAROLINA ATANAZIO DOS SANTOS
Psychologist (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2900
ANTOINETTE HAMILTON
Community Health Worker
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 253-8525
JOHNNY MORATAYA LCSW
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2938
MS. GABRIELA ZUNIGA LCSW
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (562) 256-2900
MARIA RAMOS-LESTER
Social Worker (Clinical)
2600 REDONDO AVE FL 3
LONG BEACH, CA 90806
Los Angeles County (213) 663-2053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee De Vicq's NPI number?

The NPI number for Renee De Vicq is 1639369275. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Renee De Vicq located?

Renee De Vicq practices at 2600 Redondo Ave Fl 3, Long Beach, CA 90806. The listed phone number is (562) 599-6476.

What is Renee De Vicq's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Renee De Vicq was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.