Active NPI
David Ly, LCSW
- Clinical Social Worker
- Cerritos, CA
National Provider Identifier
1568901676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW69930
- Practice address
- 10802 College PL
Cerritos, CA 90703-1505 - Phone
- (562) 924-9581
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW69930 | CA | Primary |
Addresses
Primary practice location
10802 College PL
Cerritos, CA 90703-1505
Mailing address
PO Box 2598
Rancho Cucamonga, CA 91729-2598
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 |
|---|---|---|---|
| LCSW69930 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1568901676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2598",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917292598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10802 COLLEGE PL",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031505",
"telephone_number": "562-924-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW69930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
- Luxottica of America Inc (Lenscrafters At Macy's #8867)
- Luxottica of America Inc. (Target Optical #1955)
- Luxottica of America Inc. (LensCrafters #730)
- Luxottica Retail North America Inc (Sears Optical #0756)
- Bach Trung Ly, DPT
- Ah-Kisha Lynch
- Ashley Hanako Lyons
- Brian Ma, L.AC.
- Jada Mandy Ma, M.D.
- Mac Jane Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.