Amy Chan, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R025961-1 Issued in NY

Practice address

2728 Thomson Ave Unit 543
Long Island City, NY 11101-2941

Phone

(609) 273-8091

NPI assigned

Nov 25, 2008

Last updated

Nov 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1033364492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 THOMSON AVE UNIT 543",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012941",
            "telephone_number": "609-273-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 THOMSON AVE UNIT 543",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012941",
            "telephone_number": "609-273-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "AMY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R025961-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gildelgar Centeno, LCSW
• Betsy Cespedes
• Judy Cevallos, MA
• Fatematuz Zohara Chamak
• Kristeena Chambers
• Jason Chan, FNP
• Kyle Chan, P.A.C.
• Melissa Chan
• Secion Chan, M.D.
• Valecia Chan, PA

• Clinical Social Worker in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.