Jacqueline Chun, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

93913 Issued in CA

Practice address

11813 Marquardt Ave
Whittier, CA 90605-4021

Phone

(714) 337-9495

NPI assigned

Sep 4, 2020

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

Electronic endpoints 1

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1053925172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CALIFORNIA BLVD # 9187",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053005",
            "telephone_number": "714-337-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11813 MARQUARDT AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906054021",
            "telephone_number": "714-337-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "JACQUELINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JACQUELINE_CHUN@HOTMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Whittier",
            "address_1": "115 W California Blvd # 9187",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911053005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chiling Chuang, LAC
• Jeremy Chuang, MD
• Johnnie Chum, CRT, RRT, RCP
• Chun Chiropractic Clinic, Inc.
• Edwin H Chun, DC
• Chung-Lien Chen (Whittier Medical Group)
• Aaron Chung
• Brian Carroll Chung, DDS MD
• Dominique Chung
• Eva Afong Chung, LCSW

• Clinical Social Worker in Whittier, CA
• Providers in Whittier, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.