Individual provider Active NPI

Danica Wong, LCSW

  • Clinical Social Worker
  • Eastvale, CA
National Provider Identifier
1013641893
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
250844 Issued in CA
Practice address
7056 Archibald Ave # 442
Eastvale, CA 92880-8713
Phone
(951) 324-4644
NPI assigned
Jul 15, 2022
Last updated
Jul 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 250844 CA Primary

Addresses

Primary practice location

7056 Archibald Ave # 442
Eastvale, CA 92880-8713

Mailing address

PO Box 1138
Chino Hills, CA 91709-0038

Other practice location 1

19712 MacArthur Blvd
Irvine, CA 92612-2407
Phone (951) 324-4644

Other practice location 2

4000 Barranca Pkwy Ste 250
Irvine, CA 92604-1713
Phone (951) 324-4644

Other practice location 3

2741 Hamner Ave Ste 202
Norco, CA 92860-3630
Phone (951) 324-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
250844CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1013641893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1138",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7056 ARCHIBALD AVE # 442",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808713",
            "telephone_number": "951-324-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19712 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926122407",
            "country_code": "US",
            "telephone_number": "951-324-4644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Barranca Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926041713",
            "country_code": "US",
            "telephone_number": "951-324-4644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2741 Hamner Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Norco",
            "state": "CA",
            "postal_code": "928603630",
            "country_code": "US",
            "telephone_number": "951-324-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "DANICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "250844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.