PETERSON Q PHAM LCSW
NPI 1790107597
Social Worker - Clinical in Long Beach, CA

Q: What is Peterson Pham's NPI number?

The NPI number for Peterson Pham is 1790107597. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Q: What is Peterson Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peterson Pham was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since January 13, 2014PECOS Enrolled

1043 ELM AVE STE 302, LONG BEACH, CA 90813(562) 247-7740 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2025, Nov 9, 2018, Aug 29, 2016 (3 updates tracked since 2016).

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About Peterson Q Pham Lcsw NPPES

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

PETERSON Q PHAM LCSW (NPI 1790107597) is an individual clinical provider in Long Beach, California and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790107597

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NamePETERSON Q PHAMCredential: LCSW

Location Address1043 ELM AVE STE 302Long Beach, CA 90813-3295

Mailing AddressPo Box 1789Garden Grove, CA 92842-1789 · (657) 206-0035

Phone(562) 247-7740

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 13, 2014

Last NPPES UpdateNovember 21, 20253 updates tracked since enumeration

NPPES CertifiedNovember 21, 2025

✔ NPI 1790107597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1043 ELM AVE STE 302, Long Beach, CA 90813

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Other Identifiers 1

OtherASW85404CA · Board Of Behavioral Sciences

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Q Pham Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315334364

PECOS Enrollment IDI20260820005200

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 Peterson Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apla Health & Wellness

Same address

Federally Qualified Health Center (FQHC)

1043 ELM AVE STE 302
Long Beach, CA 90813

Reassigned Medicare billing, California enrollment
34 clinicians in this Medicare group

NPI 1811367709 (213) 201-1600

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 90813 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 6

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

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