IndividualActive
Michelle Wong, LCSW
NPI 1104411784 · Mental Health Counselor · Los Angeles, CA
Provider details
- NPI number
- 1104411784
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 124666 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
777 S Alameda St Fl 2
Los Angeles, CA 90021-1656
Phone: (213) 289-3578
Fax: (213) 357-3667
Street-level locationGet directions
Mailing address
14377 Telluride Dr
Baldwin Park, CA 91706-5421
Additional practice locations (1)
- 2116 Arlington Ave Ste 100Los Angeles, CA 90018-1353Phone: (323) 334-9000Fax: (323) 334-4437
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.