Active NPI
Josephine Eun Sun Chung, LCSW
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1134293145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L6867
- Practice address
- 1601 E 4TH Plain Blvd BLDG 18
Vancouver, WA 98661-3717 - Phone
- (971) 334-9185
- Fax
- (360) 737-1424
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 22774 | CA | |
| Clinical Social Worker | 1041C0700X | L6867 | OR | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd BLDG 18
Vancouver, WA 98661-3717
Mailing address
1601 E 4TH Plain Blvd BLDG 18
Vancouver, WA 98661-3717
Phone (971) 334-9185
Other practice location 1
201 Centre Plaza Dr
Dept. 425
Monterey Park, CA 91754-2142
Phone (323) 526-6837
Other names 1
- Josephine Eun Sun Won
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Josephine.Chung@VA.gov | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| L6867 | OR | MD | Clinical Social Worker |
| 22774 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1134293145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD BLDG 18",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613717",
"telephone_number": "971-334-9185",
"fax_number": "360-737-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD BLDG 18",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613717",
"telephone_number": "971-334-9185",
"fax_number": "360-737-1424"
}
],
"practiceLocations": [
{
"address_1": "201 Centre Plaza Dr",
"address_2": "Dept. 425",
"address_purpose": "LOCATION",
"city": "Monterey Park",
"state": "CA",
"postal_code": "917542142",
"country_code": "US",
"telephone_number": "323-526-6837",
"fax_number": "323-260-5251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "JOSEPHINE",
"middle_name": "EUN SUN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "22774",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L6867",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Josephine.Chung@VA.gov",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "telephone",
"address_1": "1601 E 4th Plain Blvd Bldg 18",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986613717",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOSEPHINE",
"last_name": "WON",
"middle_name": "EUN SUN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.