Individual provider Active NPI

Andy Luong, ACSW

  • Clinical Social Worker
  • Claremont, CA
National Provider Identifier
1306515689
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119443 Issued in CA
Practice address
435 Yale Ave
Claremont, CA 91711-4340
Phone
(909) 632-7167
NPI assigned
Sep 9, 2021
Reactivated
Nov 30, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 119443 CA Primary

Addresses

Primary practice location

435 Yale Ave
Claremont, CA 91711-4340

Mailing address

20731 Fuerte Dr
Walnut, CA 91789-1913
Phone (714) 722-9835

Other practice location 1

38345 30th St E Ste C2
Palmdale, CA 93550-4982
Phone (909) 632-7167

Other practice location 2

16600 Sherman Way Ste 280
Van Nuys, CA 91406-3785
Phone (909) 632-7167

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
119443CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1306515689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20731 FUERTE DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891913",
            "telephone_number": "714-722-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 YALE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114340",
            "telephone_number": "909-632-7167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38345 30th St E Ste C2",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935504982",
            "country_code": "US",
            "telephone_number": "909-632-7167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16600 Sherman Way Ste 280",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063785",
            "country_code": "US",
            "telephone_number": "909-632-7167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "ANDY",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "deactivation_date": "2023-11-22",
        "reactivation_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.