Active NPI
Bac Thi Luu, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1871862516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS28974
- Practice address
- 100 W 1St St
6TH Floor, RM 630
Los Angeles, CA 90012-4112 - Phone
- (213) 996-1347
- NPI assigned
- Dec 27, 2011
- Last updated
- Mar 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 21061 | CA | |
| Clinical Social Worker | 1041C0700X | LCS28974 | CA | Primary |
Addresses
Primary practice location
100 W 1St St
6TH Floor, RM 630
Los Angeles, CA 90012-4112
Mailing address
100 W 1St St
6TH Floor, RM 630
Los Angeles, CA 90012-4112
Phone (213) 798-5077
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 |
|---|---|---|---|
| ASW 21061 | CA | MD | Clinical Social Worker |
| LCS28974 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1871862516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W 1ST ST",
"address_2": "6TH FLOOR, RM 630",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124112",
"telephone_number": "213-798-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W 1ST ST",
"address_2": "6TH FLOOR, RM 630",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124112",
"telephone_number": "213-996-1347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "BAC",
"middle_name": "THI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-27",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 21061",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS28974",
"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 Mar 3, 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.