Active NPIIndividual provider

Samuel Chen, LCSW

Social Worker, Clinical in Ridgewood, New Jersey

NPI Number1023792512
Practice location
120 Chestnut St, Ridgewood, NJ 07450-2504
Fax
—
Last updated
June 14, 2023

Samuel Chen is a Social Worker, Clinical based in Ridgewood, NJ. Samuel Chen practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Samuel Chen is 1023792512 and holds a License No. 109963 (NY). The current practice location address for Samuel Chen is 120 Chestnut St, Ridgewood, NJ 07450-2504 and can be reached out via phone at 291-444-3550.

Provider Profile Details

NPI Number
1023792512
Provider Name
Samuel Chen
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
120 Chestnut St, Ridgewood, NJ 07450-2504
Phone Number
291-444-3550
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2023
Last Update Date
June 14, 2023
Certification Date
June 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
Zip
07450-2504
Phone Number
291-444-3550
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
120 Chestnut St
Ridgewood, NJ 07450-2504
City
Ridgewood
State
NJ
Zip
07450-2504
Phone Number
201-444-3550

License Information

License Number (1)
109963
License State (1)
NY
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
44SC06206500
License State (2)
NJ
Taxonomy (2)
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 Samuel Chen, LCSW?

The NPI number of Samuel Chen, LCSW is 1023792512. It was assigned on June 14, 2023 and is currently active in the NPPES registry.

What is the specialty of Samuel Chen, LCSW?

Samuel Chen, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 109963.

Where does Samuel Chen, LCSW practice?

The practice location is 120 Chestnut St, Ridgewood, NJ 07450-2504. The office can be reached at 291-444-3550 (phone).

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 1023792512 directly on the NPPES registry website.

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