Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversified Psychotherapy Inc

Organization Clinical Social Worker · NPI 1215061072

Diversified Psychotherapy Inc is a Clinical Social Worker in Long Beach, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5199 E Pacific Coast Hwy Ste 615
Long Beach, CA 90804-3302
Phone: (562) 743-2789
Fax: (562) 743-2789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 21160 (CA)

Record details

NPI number1215061072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nava — Owner · (562) 743-2789
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 191, Lakewood, CA 90714-0191

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