Active NPI
Grace Hong, ACSW
- Social Worker
- South Pasadena, CA
National Provider Identifier
1154963338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW104560
- Practice address
- 625 Fair Oaks Ave Ste 300
South Pasadena, CA 91030-5805 - Phone
- (626) 441-4221
- NPI assigned
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | ASW104560 | CA | |
| Social Worker | 104100000X | ASW104560 | CA | Primary |
Addresses
Primary practice location
625 Fair Oaks Ave Ste 300
South Pasadena, CA 91030-5805
Mailing address
1009 N Garfield Ave Apt 11
Alhambra, CA 91801-1446
Phone (310) 890-7950
Other practice location 1
7200 Bancroft Ave
Oakland, CA 94605-2403
Phone (510) 553-8500
Other practice location 2
66 Hurlbut St Fl 2
Pasadena, CA 91105-4026
Phone (626) 441-4221 ext. 2984
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW104560 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1154963338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 N GARFIELD AVE APT 11",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011446",
"telephone_number": "310-890-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 FAIR OAKS AVE STE 300",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910305805",
"telephone_number": "626-441-4221"
}
],
"practiceLocations": [
{
"address_1": "7200 Bancroft Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946052403",
"country_code": "US",
"telephone_number": "510-553-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "66 Hurlbut St Fl 2",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911054026",
"country_code": "US",
"telephone_number": "626-441-4221 x2984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HONG",
"first_name": "GRACE",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-09",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW104560",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW104560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.