NICOLE LY MSW, MPH
NPI 1891447066
Social Worker - Clinical in Riverside, CA

Q: What is Nicole Ly's NPI number?

The NPI number for Nicole Ly is 1891447066. It was assigned to this individual provider in the NPPES registry on January 19, 2022.

Q: What is Nicole Ly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Ly was last updated on March 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2022PECOS Enrolled

3950 REYNOLDS RD, RIVERSIDE, CA 92503(951) 358-4466 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicole Ly Msw, Mph NPPES

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

NICOLE LY MSW, MPH (NPI 1891447066) is an individual clinical provider in Riverside, California and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Alhambra.

NPPES Registry Identity

NPI1891447066

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE LYCredential: MSW, MPH

Location Address3950 REYNOLDS RDRiverside, CA 92503-3517

Mailing Address1614 S 6th St Apt AAlhambra, CA 91803-3453 · (626) 262-3421

Phone(951) 358-4466

Sole ProprietorNo

Enumeration DateJanuary 19, 2022

Last NPPES UpdateMarch 1, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1891447066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

3950 REYNOLDS RD, Riverside, CA 92503

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Secondary Practice Location 1

Location 11614 S 6th St Apt AAlhambra, CA 91803-3453 · Phone (626) 262-3421

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ly Msw, Mph 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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 $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.