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DANIEL D WONGTHAVATCHAI LCSW
NPI 1790064012
Social Worker - Clinical in Arcadia, CA

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
41 E FOOTHILL BLVD, STE 102, ARCADIA, CA 91006(626) 701-4249(626) 737-6034 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2020, Apr 14, 2019 (2 updates tracked since 2019).

About Daniel D Wongthavatchai Lcsw NPPES

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

DANIEL D WONGTHAVATCHAI LCSW (NPI 1790064012) is an individual clinical provider in Arcadia, California, licensed in California (88422) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1790064012
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDANIEL D WONGTHAVATCHAICredential: LCSW
Location Address41 E FOOTHILL BLVD, STE 102Arcadia, CA 91006-2361
Mailing Address41 E Foothill Blvd, Ste 102Arcadia, CA 91006-2361 · (626) 701-4249 · Fax (626) 737-6034
Phone(626) 701-4249
Fax(626) 737-6034
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 4, 2011
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1790064012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 88422
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 · License 33235 (CA)
41 E FOOTHILL BLVD, Arcadia, CA 91006
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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 and accepts Medicare assignment

Daniel D Wongthavatchai Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486084258
PECOS Enrollment IDI20200417002356
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 Reassignments

2

Medicare enrollment records show Daniel Wongthavatchai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders Psychological Services, Inc.
0.2 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249
Soultenders, Inc.
0.2 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034

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 91006 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.

MS. CECILIA CRISTINA PENAILILLO LMFT
Marriage & Family Therapist
41 E FOOTHILL BLVD, SUITE 102
ARCADIA, CA 91006
Los Angeles County (626) 737-1100
BRANDON K GUIN MFT
Marriage & Family Therapist
41 E FOOTHILL BLVD, STE. 102
ARCADIA, CA 91006
Los Angeles County (626) 737-1096
MS. MAELISA AILEEN EDDY LMFT
Marriage & Family Therapist
41 E FOOTHILL BLVD, SUITE 102
ARCADIA, CA 91006
Los Angeles County (626) 737-1097
CATHERINE LYNN GRUMAN
Marriage & Family Therapist
41 E FOOTHILL BLVD, SUITE 102
ARCADIA, CA 91006
Los Angeles County (626) 701-4249
BARBARA NORMAN BURNS L.AC., M.S.O.M.
Acupuncturist
41 E FOOTHILL BLVD, SUITE 200
ARCADIA, CA 91006
Los Angeles County (626) 446-5900
SOULTENDERS, INC.
Psychologist (Clinical)
41 E FOOTHILL BLVD, SUITE 102
ARCADIA, CA 91006
Los Angeles County (626) 737-6034
MS. ELENA MARIE NARVAEZ
Social Worker (Clinical)
41 E FOOTHILL BLVD, STE 102
ARCADIA, CA 91006
Los Angeles County (213) 381-2931
EDDIE N SO D.D.S., D.C.
Dentist (Pediatric Dentistry)
41 E FOOTHILL BLVD
ARCADIA, CA 91006
Los Angeles County (626) 445-6666

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 Daniel Wongthavatchai's NPI number?

The NPI number for Daniel Wongthavatchai is 1790064012. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Daniel Wongthavatchai located?

Daniel Wongthavatchai practices at 41 E Foothill Blvd Ste 102, Arcadia, CA 91006. The listed phone number is (626) 701-4249.

What is Daniel Wongthavatchai's specialty?

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

Is Daniel Wongthavatchai enrolled in Medicare?

Yes. Daniel Wongthavatchai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Daniel Wongthavatchai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Wongthavatchai reassigns Medicare benefits to 2 organizations: Soultenders Psychological Services, Inc. (Arcadia, CA) and Soultenders, Inc. (Arcadia, CA). Each 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 Daniel Wongthavatchai'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 Daniel Wongthavatchai was last updated on April 17, 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.