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LOK TAM LCSW
NPI 1063761963
Social Worker - Clinical in Covina, CA

Active since September 06, 2012PECOS Enrolled
1126 N GRAND AVE, COVINA, CA 91724(626) 967-1667(626) 967-6027 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 14, 2022, Nov 20, 2018 (2 updates tracked since 2018).

About Lok Tam Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOK TAM LCSW (NPI 1063761963) is an individual clinical provider in Covina, California, licensed in California (LCSW90519) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063761963
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLOK TAMCredential: LCSW
Location Address1126 N GRAND AVECovina, CA 91724-1551
Mailing Address1126 N Grand AveCovina, CA 91724-1551 · (626) 967-1667 · Fax (626) 967-6027
Phone(626) 967-1667
Fax(626) 967-6027
Sole ProprietorYes
Enumeration DateSeptember 6, 2012
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1063761963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW90519
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1126 N GRAND AVE, Covina, CA 91724
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lok Tam Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lok Tam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Clinics
Same address
Community/Behavioral Health
1126 N GRAND AVE
Covina, CA 91724
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1811654346 (626) 967-1667

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91724 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA ESQUIVEZ
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
NATASHA THOMPSON I
Case Manager/Care Coordinator
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
MR. CARSON DEMETRUIS BROOKS II
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
ALISHA PLUM
Day Training/Habilitation Specialist
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
JEZZHABEL APPARCEL
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 967-1667
MS. KIMBERLY A. MOORE ACSW
Counselor (Mental Health)
1126 N GRAND AVE, SUITE D
COVINA, CA 91724
Los Angeles County (626) 967-1667
JASMINE LAGUNAS
Rehabilitation Practitioner
1126 N GRAND AVE, STE. D
COVINA, CA 91724
Los Angeles County (626) 967-1667
RENISHA JANAE BROWN
Rehabilitation Practitioner
1126 N GRAND AVE
COVINA, CA 91724
Los Angeles County (626) 861-5135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lok Tam's NPI number?

The NPI number for Lok Tam is 1063761963. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Lok Tam located?

Lok Tam practices at 1126 N Grand Ave, Covina, CA 91724. The listed phone number is (626) 967-1667.

What is Lok Tam's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lok Tam enrolled in Medicare?

Yes. Lok Tam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lok Tam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lok Tam reassigns Medicare benefits to Pacific Clinics (Covina, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lok Tam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lok Tam was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.