Individual provider Active NPI

Wen ER Li, LCSW

  • Clinical Social Worker
  • Alhambra, CA
National Provider Identifier
1649558966
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW97708 Issued in CA
Practice address
320 S Garfield Ave Ste 202
Alhambra, CA 91801-3887
Phone
(626) 598-3883
Fax
(626) 287-2988
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW68398 CA
Clinical Social Worker 1041C0700X LCSW97708 CA Primary

Addresses

Primary practice location

320 S Garfield Ave Ste 202
Alhambra, CA 91801-3887

Mailing address

9353 Valley Blvd
Rosemead, CA 91770-1934
Phone (626) 287-2988

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
I20230426002247 CA Practitioner - Clinical Social Worker 4587029582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4510 E Pacific Coast Hwy
Suite 600
Long Beach, CA 90804-6914
Phone (562) 346-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW68398CAMDMental Health Counselor
LCSW97708CAMDClinical Social Worker
97708CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jan 3, 2023 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jan 3, 2023 Accepting new patients

Locations

4510 E Pacific Coast Hwy
Ste 600
Long Beach, CA 90804
Phone (562) 346-1100

1975 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 599-9280

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1649558966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 VALLEY BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701934",
            "telephone_number": "626-287-2988",
            "fax_number": "626-287-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S GARFIELD AVE STE 202",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013887",
            "telephone_number": "626-598-3883",
            "fax_number": "626-287-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "WEN ER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW68398",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.