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

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: August 09, 2026.

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

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.

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
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
Open in Google Maps ↗

Other Identifiers 1

OtherASW85404CA · Board Of Behavioral Sciences

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Q Pham 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 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.

MARIBEL SILVA ELIOPULOS
Dental Hygienist
1043 ELM AVE STE 302
LONG BEACH, CA 90813
Los Angeles County (562) 247-7740
CARLOS L CALDERON MD
Family Medicine
1043 ELM AVE STE 302
LONG BEACH, CA 90813
Los Angeles County (562) 247-7740
JORDAN COUNCIL
Marriage & Family Therapist
1043 ELM AVE STE 302
LONG BEACH, CA 90813
Los Angeles County (323) 364-0977
ANNEKE WILSON MD
Family Medicine
1043 ELM AVE STE 302
LONG BEACH, CA 90813
Los Angeles County (562) 247-7740
APLA HEALTH & WELLNESS
Clinic/Center (Federally Qualified Health Center (FQHC))
1043 ELM AVE STE 302
LONG BEACH, CA 90813
Los Angeles County (213) 201-1600
MAXIMO SANTOS JR. DNP, NP-C, AAHIVS
Nurse Practitioner (Primary Care)
1043 ELM AVE STE 302
LONG BEACH, CA 90813
Los Angeles County (562) 247-7592

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 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.

Where is Peterson Pham located?

Peterson Pham practices at 1043 Elm Ave Ste 302, Long Beach, CA 90813. The listed phone number is (562) 247-7740.

What is Peterson Pham's specialty?

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

Is Peterson Pham enrolled in Medicare?

Yes. Peterson Pham is registered in the Medicare PECOS enrollment system.

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 8 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.