1. Home
  2. Directory
  3. California
  4. Fountain Valley
  5. Social Worker
  6. NPI Profile

KIMBERLY LUU NGUYEN LCSW
NPI 1912382953
Social Worker - Clinical in Fountain Valley, CA

Active since July 20, 2015PECOS Enrolled
17360 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708(714) 248-1124(714) 378-5320 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, Oct 19, 2021 (2 updates tracked since 2021).

About Kimberly Luu Nguyen Lcsw NPPES

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

KIMBERLY LUU NGUYEN LCSW (NPI 1912382953) is an individual clinical provider in Fountain Valley, California, licensed in California (LCSW104493) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912382953
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY LUU NGUYENCredential: LCSW
Location Address17360 BROOKHURST STFountain Valley, CA 92708-3720
Mailing Address17360 Brookhurst StFountain Valley, CA 92708-3720
Phone(714) 248-1124
Fax(714) 378-5320
Sole ProprietorNo
Enumeration DateJuly 20, 2015
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1912382953 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 · LCSW104493
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 ASW63113 (CA)
17360 BROOKHURST ST, Fountain Valley, CA 92708
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Luu Nguyen 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 Kimberly Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation
Same address
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

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 92708 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.

DR. VINA NGUYEN M. D.
Hospitalist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-1797
DR. PAUL D SYCHANGCO M.D,
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (877) 844-0012
MARYANNE ROSE IBRAHIM M.D.
Internal Medicine
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 665-4614
DR. LYDIA MICHELLE SIMON PHARM.D.
Pharmacist
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (657) 241-3248
XUANMAI NGUYEN
Dietitian, Registered
17360 BROOKHURST ST, ATTN: REGISTERED DIETITIAN DEPARTMENT
FOUNTAIN VALLEY, CA 92708
Orange County (714) 916-0881
MS. JUDY ANN PICAZO N.P.
Nurse Practitioner
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 944-1771
TANYA DANSKY M.D.
Pediatrics
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (714) 377-2900
STACY MARIE BALDWIN FNP-BC
Nurse Practitioner (Family)
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708
Orange County (877) 844-0012

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 Kimberly Nguyen's NPI number?

The NPI number for Kimberly Nguyen is 1912382953. It was assigned to this individual provider in the NPPES registry on July 20, 2015.

Where is Kimberly Nguyen located?

Kimberly Nguyen practices at 17360 Brookhurst St, Fountain Valley, CA 92708. The listed phone number is (714) 248-1124.

What is Kimberly Nguyen's specialty?

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

Is Kimberly Nguyen enrolled in Medicare?

Yes. Kimberly Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Nguyen reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, 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 Kimberly Nguyen'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 Kimberly Nguyen was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.