Active NPIIndividual provider

Jin Li Chan, LICSW

Social Worker, Clinical in St Johnsbury, Vermont

NPI Number1023551710
Practice location
714 Breezy Hill RD, St Johnsbury, VT 05819-8882
Fax
802-745-1188
Last updated
November 29, 2016

Jin Li Chan is a Social Worker, Clinical based in St Johnsbury, VT. Jin Li Chan practices in St Johnsbury, VT and has the professional credentials of LICSW. The NPI Number for Jin Li Chan is 1023551710 and holds a License No. 089.0092264 (VT). The current practice location address for Jin Li Chan is 714 Breezy Hill RD, St Johnsbury, VT 05819-8882 and can be reached out via phone at 802-748-7500 and via fax at 802-745-1188.

Provider Profile Details

NPI Number
1023551710
Provider Name
Jin Li Chan
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
714 Breezy Hill RD, St Johnsbury, VT 05819-8882
Phone Number
802-748-7500
Fax Number
802-745-1188
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
November 29, 2016
Last Update Date
November 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
714 Breezy Hill RD
St Johnsbury, VT 05819-8882
State
Vermont
Zip
05819-8882
Phone Number
802-748-7500
Fax Number
802-745-1188
St Johnsbury, VT 05819Get directions →

Provider Business Mailing Address Details

Address
1315 Hospital Dr
St Johnsbury, VT 05819-9210
City
St Johnsbury
State
VT
Zip
05819-9210
Phone Number
802-748-8141
Fax Number
802-748-4098

License Information

License Number
089.0092264
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jin Li Chan, LICSW?

The NPI number of Jin Li Chan, LICSW is 1023551710. It was assigned on November 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Jin Li Chan, LICSW?

Jin Li Chan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0092264.

Where does Jin Li Chan, LICSW practice?

The practice location is 714 Breezy Hill RD, St Johnsbury, VT 05819-8882. The office can be reached at 802-748-7500 (phone) or 802-745-1188 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023551710 directly on the NPPES registry website.

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