Individual provider Active NPI

Michelle Luz Foy, PTA, LCSW

  • Clinical Social Worker
  • Lemon Grove, CA
National Provider Identifier
1467575449
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
64462 Issued in CA
Practice address
3434 Grove St
Lemon Grove, CA 91945-1812
Phone
(619) 281-3706
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT 563 CA
Clinical Social Worker 1041C0700X 64462 CA Primary

Addresses

Primary practice location

3434 Grove St
Lemon Grove, CA 91945-1812

Mailing address

PO Box 57
La Mesa, CA 91944-0057
Phone (619) 466-9245

Other identifiers 1

IdentifierTypeStateIssuer
64462OtherCACALIFORNIA LICENSED SOCIAL WORKER

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
I20180521002999 CA Practitioner - Clinical Social Worker 2668737735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT 563CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Jan 1, 2024 Accepting new patients
Octave Behavioral Health PC Past Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 3

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1467575449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919440057",
            "telephone_number": "619-466-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 GROVE ST",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451812",
            "telephone_number": "619-281-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOY",
        "first_name": "MICHELLE",
        "middle_name": "LUZ",
        "name_prefix": "Ms.",
        "credential": "PTA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 563",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSED SOCIAL WORKER",
            "identifier": "64462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.