Individual provider Active NPI

Vicky Lin, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1710434873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101923 Issued in CA
Practice address
1224 Vine St
Los Angeles, CA 90038
Phone
(323) 769-6100
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Social Worker 104100000X CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 101923 CA Primary

Addresses

Primary practice location

1224 Vine St
Los Angeles, CA 90038

Mailing address

1224 Vine St
Los Angeles, CA 90038-1612
Phone (323) 769-6100

Other practice location 1

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

Other practice location 2

1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000

Other practice location 3

1891 Effie St
Los Angeles, CA 90026-1711
Phone (323) 644-2000

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

LicenseStateTypeSpecialty
101923CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710434873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 VINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381612",
            "telephone_number": "323-769-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 VINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90038",
            "telephone_number": "323-769-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 Valley Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701934",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1891 Effie St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900261711",
            "country_code": "US",
            "telephone_number": "323-644-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1891 Effie St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900261711",
            "country_code": "US",
            "telephone_number": "323-644-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "VICKY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.