Michelle Chau Ly, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

652 Forest Ave
Palo Alto, CA 94301-2622

Phone

(650) 484-1493

Fax

(650) 323-1720

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Michelle Chau Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Momentum for Health

  • Mental Illness Community Based Residential Treatment Facility
  • Palo Alto, CA
  • NPI 1881813350
  NPD
• Momentum for Health

  • Psychologist
  • San Jose, CA
  • NPI 1760181234
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1356545008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 THE ALAMEDA STE 316",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261461",
            "telephone_number": "408-261-7777",
            "fax_number": "408-642-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012622",
            "telephone_number": "650-484-1493",
            "fax_number": "650-323-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "MICHELLE",
        "middle_name": "CHAU",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW68047",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVER LICENSE",
            "identifier": "A8558131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NGUYEN",
            "middle_name": "CHAU",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luxottica of America Inc.
• Danielle Angelica Luz, MD
• Kyaw Oo Lwin, M.D.
• Linda Ly, PHARMD
• Matthew Ang Ly, NP
• Trang Thao Ly, MBBS FRACP PHD
• Lydia Hou
• Deirdre Judith Lyell, MD
• Ann Elizabeth Lyke, M.ED.
• Haley Lynch

• Counselor in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.