Provider Demographics
NPI:1164211082
Name:BY YOUR SIDE LICENSED CLINICAL SOCIAL WORKERS CORP.
Entity type:Organization
Organization Name:BY YOUR SIDE LICENSED CLINICAL SOCIAL WORKERS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PMH-C
Authorized Official - Phone:213-324-6063
Mailing Address - Street 1:3902 STEARNLEE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1940
Mailing Address - Country:US
Mailing Address - Phone:213-324-6063
Mailing Address - Fax:
Practice Address - Street 1:3711 LONG BEACH BLVD STE 5039
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3315
Practice Address - Country:US
Practice Address - Phone:213-324-6063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BY YOUR SIDE LICENSED CLINICAL SOCIAL WORKERS CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-06
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty