Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Herthao Ly, LCSW

Individual provider Case Management Agency · NPI 1912375676

Herthao Ly, LCSW is a Clinical Social Worker in Sacramento, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2015
Specialties on file
3
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

7300 Wyndham Dr Fl 2
Sacramento, CA 95823-4913
Phone: (916) 525-6207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 104920 (CA)
Case Management Agency Taxonomy 251B00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1912375676
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2015
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Permanente Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 10941 clinicians in the practice; 12 are shown here.

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