MEDICARE: SAMUEL JOHN KLEIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	ASW123508	CA

General Provider Information

NPI Number	:	1902644925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL JOHN KLEIST

Provider Business Mailing Address
First Line	:	3553 ATLANTIC AVE # 168
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5606
Country	:	US
Telephone Number	:	901-235-3449
Fax Number	:

Provider Business Practice Location Address
First Line	:	3553 ATLANTIC AVE # 168
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5606
Country	:	US
Telephone Number	:	901-235-3449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

Similar Medicare Providers

1861351348 — TENDING TO THE SOUL COLLECTIVE
Practice Location Address:

3553 ATLANTIC AVE # 168
LONG BEACH, CA
90807-5606

Practice Phone: 901-235-3449
Practice Fax:

1659783900 — RAYMOND DUARTE
Practice Location Address:

3553 ATLANTIC AVE , # A
LONG BEACH, CA
90807-5606

Practice Phone: 562-427-5577
Practice Fax: 562-427-1807

1407246978 — ELIJAH KIMBLE
Practice Location Address:

3553 ATLANTIC AVE # 1200
LONG BEACH, CA
90807-5606

Practice Phone: 562-751-5242
Practice Fax: 562-751-5242

1710426713 — MARIE ELIASON RD
Practice Location Address:

3553 ATLANTIC AVE # 553
LONG BEACH, CA
90807-5606

Practice Phone: 480-447-0624
Practice Fax:

1710353164 — KATIE FIELD M.S., CCC-SLP
Practice Location Address:

1162 E 2ND ST , APT 1
LONG BEACH, CA
90802-5606

Practice Phone: 209-620-2719
Practice Fax:

1144597733 — MR. SCOTT ROSENBERG LCSW
Practice Location Address:

2268 31ST ST UNIT 5606
LONG ISLAND CITY, NY
11105-3091

Practice Phone: 347-620-5433
Practice Fax: 347-658-3522

Directions to “ SAMUEL JOHN KLEIST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.