Healthcare Provider Details

I. General information

NPI: 1649416512
Provider Name (Legal Business Name): SOMPIA PAIGNE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2008
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 E ANAHEIM ST STE 101
LONG BEACH CA
90813-5515
US

IV. Provider business mailing address

1360 E ANAHEIM ST STE 101
LONG BEACH CA
90813-5515
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-3955
  • Fax: 562-591-0109
Mailing address:
  • Phone: 562-595-3955
  • Fax: 562-591-0109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23505
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: