Jake Wei Hung Wong, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW106350 Issued in CA

Practice address

1011 Camino del Rio S Ste 300
San Diego, CA 92108-3567

Phone

(619) 287-8225

Fax

(619) 393-0386

NPI assigned

Oct 10, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Systems, Inc.

  • Adult Mental Health Clinic/Center
  • Oceanside, CA
  • NPI 1598847055
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1154896785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 EL CAJON BLVD STE 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153918",
            "telephone_number": "619-287-8225",
            "fax_number": "619-393-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL RIO S STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083567",
            "telephone_number": "619-287-8225",
            "fax_number": "619-393-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JAKE",
        "middle_name": "WEI HUNG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW90517",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW106350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Wong, D.C.
• Henry Keung Wong, M.D., PH.D.
• Ian Wong
• Irene Pui Lai Wong, M.D.
• Isaac Kekoa Wong, PHARMD
• Jeffrey Oliver Wong
• Jessica L Wong, D.C.
• Joanne Hay-Ling Wong, M.D.
• Jonathan Wong, DMD
• Jose Manuel Wong

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.