Individual provider Active NPI

Thang T Huynh, LCSW

  • Clinical Social Worker
  • Westminster, CA
National Provider Identifier
1417062159
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19598 Issued in CA
Practice address
14140 Beach Blvd Ste 200
Westminster, CA 92683-4453
Phone
(714) 896-7566
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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 LCS19598 CA Primary

Addresses

Primary practice location

14140 Beach Blvd Ste 200
Westminster, CA 92683-4453

Mailing address

9355 Chapman Ave Ste 200
Garden Grove, CA 92841-2536
Phone (714) 724-9857

Other practice location 1

9355 Chapman Ave Ste 200
Garden Grove, CA 92841-2536
Phone (714) 724-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120228000277 CA Practitioner - Clinical Social Worker 3779741392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19598CAMDClinical Social Worker
19598CAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange CurrentSince Jan 20, 2012 Accepting new patients
County of Orange Current Accepting new patients
County of Orange CurrentSince Jan 20, 2012 Accepting new patients
County of Orange PastSince Sep 29, 2019 Accepting new patients

Locations

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

14140 Beach Blvd
Ste 223
Westminster, CA 92683
Phone (714) 896-7566

14140 Beach Blvd
Ste 200
Westminster, CA 92683
Phone (714) 896-7566

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1417062159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9355 CHAPMAN AVE STE 200",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928412536",
            "telephone_number": "714-724-9857",
            "fax_number": "714-724-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 BEACH BLVD STE 200",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834453",
            "telephone_number": "714-896-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9355 Chapman Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928412536",
            "country_code": "US",
            "telephone_number": "714-724-9857",
            "fax_number": "714-724-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THANG",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.