Active NPIIndividual providerSole proprietor

Ms. Kyung Chang, LCSW

Social Worker, Clinical in Ridgefield, New Jersey

NPI Number1811213432
Practice location
581 Bergen Blvd, #4, Ridgefield, NJ 07657-2030
Fax
718-888-1876
Last updated
April 8, 2010

Kyung Chang is a Social Worker, Clinical based in Ridgefield, NJ. Kyung Chang practices in Ridgefield, NJ and has the professional credentials of LCSW. The NPI Number for Kyung Chang is 1811213432 and holds a License No. R032790-1 (NY). The current practice location address for Kyung Chang is 581 Bergen Blvd, #4, Ridgefield, NJ 07657-2030 and can be reached out via phone at 201-313-3346 and via fax at 718-888-1876.

Provider Profile Details

NPI Number
1811213432
Provider Name
Kyung Chang
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
581 Bergen Blvd, #4, Ridgefield, NJ 07657-2030
Phone Number
201-313-3346
Fax Number
718-888-1876
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Ms. Mina Kyung Chang, LCSW (Professional Name)
Provider Enumeration Date
April 8, 2010
Last Update Date
April 8, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
581 Bergen Blvd
#4
Ridgefield, NJ 07657-2030
Zip
07657-2030
Phone Number
201-313-3346
Fax Number
718-888-1876
Ridgefield, NJ 07657Get directions →

Provider Business Mailing Address Details

Address
3901 Main St
#508
Flushing, NY 11354-5432
City
Flushing
State
NY
Zip
11354-5432
Phone Number
201-313-3346
Fax Number
718-888-1876

License Information

License Number (1)
R032790-1
License State (1)
NY
License Number (2)
44SC05237500
License State (2)
NJ
License Number (3)
R032790-1
License State (3)
NY
Taxonomy (3)
Counselor, Mental Health · 101YM0800X
License Number (4)
44SC05237500
License State (4)
NJ
Taxonomy (4)
Counselor, Mental Health · 101YM0800X
License Number (5)
R032790-1
License State (5)
NY
Taxonomy (5)
Social Worker, Clinical · 1041C0700X
License Number (6)
44SC05237500
License State (6)
NJ
Taxonomy (6)
Social Worker, Clinical · 1041C0700X · Primary
License Number (7)
R032790-1
License State (7)
NY
Taxonomy (7)
Social Worker, School · 1041S0200X
License Number (8)
44SC05237500
License State (8)
NJ
Taxonomy (8)
Social Worker, School · 1041S0200X
License Number (9)
R032790-1
License State (9)
NY
Taxonomy (9)
Marriage & Family Therapist · 106H00000X
License Number (10)
44SC05237500
License State (10)
NJ
Taxonomy (10)
Marriage & Family Therapist · 106H00000X

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 Ms. Kyung Chang, LCSW?

The NPI number of Ms. Kyung Chang, LCSW is 1811213432. It was assigned on April 8, 2010 and is currently active in the NPPES registry.

What is the specialty of Ms. Kyung Chang, LCSW?

Ms. Kyung Chang, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R032790-1.

Where does Ms. Kyung Chang, LCSW practice?

The practice location is 581 Bergen Blvd, #4, Ridgefield, NJ 07657-2030. The office can be reached at 201-313-3346 (phone) or 718-888-1876 (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 1811213432 directly on the NPPES registry website.

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