Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel D Wongthavatchai, LCSW

Individual provider Mental Health Counselor · NPI 1790064012

Daniel D Wongthavatchai, LCSW is a Clinical Social Worker in Arcadia, California. Qualified in 2012, 14 years ago. Practices with Soultenders Inc, a 106-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

41 E Foothill Blvd Ste 102
Arcadia, CA 91006-2361
Phone: (626) 701-4249
Fax: (626) 737-6034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 88422 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 33235 (CA)

Record details

NPI number1790064012
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 4, 2011
Last updated in NPPESApril 17, 2020
Certification dateApril 17, 2020
Mailing address41 E Foothill Blvd, Ste 102, Arcadia, CA 91006-2361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Soultenders Inc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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