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LY LAN MARIE VO LOFGREN LICENSED CLINICAL SO
NPI 1336321397
Social Worker - Clinical in San Luis Obispo, CA

Active since December 03, 2007Opted out of Medicare · through Jan 1, 2027
1411 MARSH STREET STE 105, SAN LUIS OBISPO, CA 93401(805) 748-8427 Get Directions Write a Review

NPPES record last updated: June 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2020, Nov 4, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Ly Lan Marie Vo Lofgren Licensed Clinical So NPPES

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

LY LAN MARIE VO LOFGREN LICENSED CLINICAL SO (NPI 1336321397) is an individual clinical provider in San Luis Obispo, California, licensed in California (23998) and active in the NPI registry since December 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336321397
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLY LAN MARIE VO LOFGRENCredential: LICENSED CLINICAL SO
Location Address1411 MARSH STREET STE 105San Luis Obispo, CA 93401
Mailing AddressPo Box 5402San Luis Obispo, CA 93403-5402 · (805) 762-4598
Phone(805) 748-8427
Sole ProprietorYes
Enumeration DateDecember 3, 2007
Last NPPES UpdateJune 7, 20205 updates tracked since enumeration
NPPES CertifiedJune 7, 2020
✔ NPI 1336321397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 23998
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.
1411 MARSH STREET STE 105, San Luis Obispo, CA 93401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ly Lan Marie Vo Lofgren Licensed Clinical So has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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 $59.84 – $178.89
Typical copayment $0.00 (range $14.96 – $44.72)
Most-billed visit code NA
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

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 Ly Lan Lofgren's NPI number?

The NPI number for Ly Lan Lofgren is 1336321397. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Ly Lan Lofgren located?

Ly Lan Lofgren practices at 1411 Marsh Street Ste 105, San Luis Obispo, CA 93401. The listed phone number is (805) 748-8427.

What is Ly Lan Lofgren's specialty?

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

Is Ly Lan Lofgren enrolled in Medicare?

No. Ly Lan Lofgren has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ly Lan Lofgren was last updated on June 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.