Philie Katherine Chan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19255 Issued in CA

Practice address

39155 Liberty St Ste G710
Fremont, CA 94538-1525

Phone

(510) 795-2434

Fax

(510) 793-3972

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063623569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 NAGLEE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262012",
            "telephone_number": "408-295-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST STE G710",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381525",
            "telephone_number": "510-795-2434",
            "fax_number": "510-793-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PHILIE",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin W Chan, PHARMD
• Lilian Yuet Chun Chan, NP, L.AC
• Linda Chan, M.D.
• Mei Kwan Chan
• Monica Mimi Chan
• Qianting Chan, L.AC.
• Ruth T. Chan, MD
• Samuel Chan
• Steven Dana Chan, D.D.S.
• Atish Chand

• Clinical Social Worker in Fremont, CA
• Providers in Fremont, 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 Jul 8, 2007; 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.