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EDITH ADELA AREVALO-MEDINA LCSW
NPI 1689005738
Social Worker - Clinical in Long Beach, CA

Active since November 27, 2013PECOS Enrolled
3900 E. PACIFIC COAST HIGHWAY, LONG BEACH, CA 90804(310) 325-6542 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2021, Apr 26, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Edith Adela Arevalo-medina Lcsw NPPES

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

EDITH ADELA AREVALO-MEDINA LCSW (NPI 1689005738) is an individual clinical provider in Long Beach, California, licensed in California (76092) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1689005738
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEDITH ADELA AREVALO-MEDINACredential: LCSW
Location Address3900 E. PACIFIC COAST HIGHWAYLong Beach, CA 90804
Mailing Address3900 E Pacific Coast HwyLong Beach, CA 90804-2013 · (310) 325-6542
Phone(310) 325-6542
Sole ProprietorNo
Enumeration DateNovember 27, 2013
Last NPPES UpdateDecember 22, 20214 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1689005738 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 · 76092
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.
3900 E. PACIFIC COAST HIGHWAY, Long Beach, CA 90804
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Other Names 1

Former Name (1)Edith Adela Arevalo Barreiro Lcsw

Secondary Practice Location 1

Location 1130 W Victoria StGardena, CA 90248-3523 · Phone (310) 715-2020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edith Adela Arevalo-medina 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.

Medicare Billing Reassignment

Medicare enrollment records show Edith Arevalo-medina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
7.9 mi
Health Maintenance Organization
9400 ROSECRANS AVE
Bellflower, CA 90706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242555 (562) 461-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90804 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.

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 Edith Arevalo-medina's NPI number?

The NPI number for Edith Arevalo-medina is 1689005738. It was assigned to this individual provider in the NPPES registry on November 27, 2013. The provider is also known as Edith Adela Arevalo Barreiro Lcsw.

Where is Edith Arevalo-medina located?

Edith Arevalo-medina practices at 3900 E. Pacific Coast Highway, Long Beach, CA 90804. The listed phone number is (310) 325-6542.

What is Edith Arevalo-medina's specialty?

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

Is Edith Arevalo-medina enrolled in Medicare?

Yes. Edith Arevalo-medina is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edith Arevalo-medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edith Arevalo-medina reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edith Arevalo-medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edith Arevalo-medina was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.