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SOPHIE LY LCSW
NPI 1417207366
Social Worker - Clinical in Long Beach, CA

Active since September 18, 2012PECOS Enrolled
4510 E PACIFIC COAST STE 600, LONG BEACH, CA 90804(562) 346-1100 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2023, Nov 7, 2019 (2 updates tracked since 2019).

About Sophie Ly Lcsw NPPES

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

SOPHIE LY LCSW (NPI 1417207366) is an individual clinical provider in Long Beach, California, licensed in California (112750) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417207366
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSOPHIE LYCredential: LCSW
Location Address4510 E PACIFIC COAST STE 600Long Beach, CA 90804-6914
Mailing Address4510 E Pacific Coast Ste 600Long Beach, CA 90804-6914 · (562) 346-1100
Phone(562) 346-1100
Sole ProprietorNo
Enumeration DateSeptember 18, 2012
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1417207366 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 · 112750
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.
4510 E PACIFIC COAST STE 600, Long Beach, CA 90804
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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)

Sophie Ly 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 Sophie Ly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Los Angeles County Department Of Mental Health
3.7 mi
Mental Health (Including Community Mental Health Center)
2600 REDONDO AVE FL 6
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group
NPI 1114300365 (562) 256-7920

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 90804 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.

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 Sophie Ly's NPI number?

The NPI number for Sophie Ly is 1417207366. It was assigned to this individual provider in the NPPES registry on September 18, 2012.

Where is Sophie Ly located?

Sophie Ly practices at 4510 E Pacific Coast Ste 600, Long Beach, CA 90804. The listed phone number is (562) 346-1100.

What is Sophie Ly's specialty?

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

Is Sophie Ly enrolled in Medicare?

Yes. Sophie Ly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophie Ly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophie Ly reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Long Beach, 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 Sophie Ly'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 Sophie Ly was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.