Active NPI
Kim Nga Duong, LCSW
- Clinical Social Worker
- Huntington Beach, CA
National Provider Identifier
1790012953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20747
- Practice address
- 16152 Beach Blvd Ste 170
Huntington Beach, CA 92647-3818 - Phone
- (714) 767-4225
- NPI assigned
- Nov 9, 2009
- Last updated
- Aug 26, 2010
- Sex
- Female
- 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 | LCS20747 | CA | Primary |
Addresses
Primary practice location
16152 Beach Blvd Ste 170
Huntington Beach, CA 92647-3818
Mailing address
P.O. Box 4882
Diamond Bar, CA 91765-1477
Phone (714) 767-4225
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20747 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1790012953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 4882",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917651477",
"telephone_number": "714-767-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16152 BEACH BLVD STE 170",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473818",
"telephone_number": "714-767-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "KIM",
"middle_name": "NGA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.