Active NPI
Nam-Phong Hung Le, ASW, MSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1629225925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW77179
- Practice address
- 1601 Precision Park LN
San Diego, CA 92173-1345 - Phone
- (619) 717-7449
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | ASW77179 | CA | Primary |
Addresses
Primary practice location
1601 Precision Park LN
San Diego, CA 92173-1345
Mailing address
1601 Precision Park LN
San Diego, CA 92173-1345
Phone (619) 662-4100
Other practice location 1
5005 Texas St Ste F-2
San Diego, CA 92108-3721
Phone (619) 692-0727
Other names 1
- Phong Le
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 |
|---|---|---|---|
| ASW77179 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1629225925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 PRECISION PARK LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921731345",
"telephone_number": "619-662-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 PRECISION PARK LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921731345",
"telephone_number": "619-717-7449"
}
],
"practiceLocations": [
{
"address_1": "5005 Texas St Ste F-2",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083721",
"country_code": "US",
"telephone_number": "619-692-0727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "NAM-PHONG",
"middle_name": "HUNG",
"credential": "ASW, MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW77179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHONG",
"last_name": "LE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.