AUTISM 360 SUPPORT LLC
NPI 1639802382
Social Worker - Clinical in Huntington Beach, CA

Q: What is Autism 360 Support LLC's NPI number?

The NPI number for Autism 360 Support LLC is 1639802382. It was assigned to this organization in the NPPES registry on July 8, 2022.

Q: What is Autism 360 Support LLC's specialty?

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

Active since July 08, 2022

5762 BOLSA AVE STE 107, HUNTINGTON BEACH, CA 92649(562) 361-8578 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2023, Jul 20, 2022, Jul 8, 2022 (3 updates tracked since 2022).

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About Autism 360 Support Llc NPPES

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

AUTISM 360 SUPPORT LLC (NPI 1639802382) is a healthcare organization registered as a clinical in Huntington Beach, California and active in the NPI registry since July 2022. The organization lists Ellen Jenny Slaton, Owner, as its authorized official.

NPPES Registry Identity

NPI1639802382

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameAUTISM 360 SUPPORT LLC

Location Address5762 BOLSA AVE STE 107Huntington Beach, CA 92649-1172

Mailing Address11278 Los Alamitos Blvd # 106Los Alamitos, CA 90720-3958 · (562) 396-5896

Phone(562) 361-8578

Organization SubpartNo

Authorized OfficialEllen Jenny SlatonOwner · (562) 361-8578

Enumeration DateJuly 8, 2022

Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2023

✔ NPI 1639802382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

5762 BOLSA AVE STE 107, Huntington Beach, CA 92649

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

BETSY P CHUNG PSY.D

Psychologist