Active NPI
Alan Lew Wong, LCSW
- Clinical Social Worker
- Monterey Park, CA
National Provider Identifier
1790808996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69760
- Practice address
- 201 Centre Plaza Drive
4TH Floor
Monterey Park, CA 91754 - Phone
- (213) 215-1833
- NPI assigned
- Apr 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 69760 | CA | Primary |
Addresses
Primary practice location
201 Centre Plaza Drive
4TH Floor
Monterey Park, CA 91754
Mailing address
1501 S 5TH Ave
Arcadia, CA 91006-4343
Phone (626) 487-1295
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awong@dmh.lacounty.gov |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1790808996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S 5TH AVE",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910064343",
"telephone_number": "626-487-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CENTRE PLAZA DRIVE",
"address_2": "4TH FLOOR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "91754",
"telephone_number": "213-215-1833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ALAN",
"middle_name": "LEW",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "69760",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awong@dmh.lacounty.gov",
"affiliation": "N",
"address_1": "201 Centre Plaza Drive",
"address_2": "4th Floor",
"city": "Monterey Park",
"state": "CA",
"country_code": "US",
"postal_code": "91754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.