Individual provider Active NPI

Susan Myunghee Choi, LCSW

  • Clinical Social Worker
  • Fairfield, CA
National Provider Identifier
1003274515
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW81087 Issued in CA
Practice address
470 Chadbourne Rd. Suite E
Aldea Children & Family Services
Fairfield, CA 94534-9600
Phone
(707) 425-9670
Fax
(707) 425-9880
NPI assigned
Jan 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW62160 CA
Mental Health Counselor 101YM0800X LCSW81087 CA
Clinical Social Worker 1041C0700X LCSW81087 CA Primary

Addresses

Primary practice location

470 Chadbourne Rd. Suite E
Aldea Children & Family Services
Fairfield, CA 94534-9600

Mailing address

470 Chadbourne Rd. Suite E
Aldea Children & Family Services
Fairfield, CA 94534-9600
Phone (707) 425-9670

Other names 1

  • Ms. Myunghee Choi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW62160CAMDMental Health Counselor
LCSW81087CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1003274515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CHADBOURNE RD. SUITE E",
            "address_2": "ALDEA CHILDREN & FAMILY SERVICES",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349600",
            "telephone_number": "707-425-9670",
            "fax_number": "707-425-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CHADBOURNE RD. SUITE E",
            "address_2": "ALDEA CHILDREN & FAMILY SERVICES",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349600",
            "telephone_number": "707-425-9670",
            "fax_number": "707-425-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUSAN",
        "middle_name": "MYUNGHEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW62160",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW81087",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW81087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYUNGHEE",
            "last_name": "CHOI",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.