Tatiana Anthonia Chang, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

018437008 Issued in CT

Practice address

459 Main St
West Haven, CT 06516-4219

Phone

(914) 882-9647

NPI assigned

Aug 30, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minds in Motion LLC

  • Social Worker
  • West Haven, CT
  • NPI 1134717812
  NPD Authorized official

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1154670651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164219",
            "telephone_number": "914-882-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164219",
            "telephone_number": "914-882-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TATIANA",
        "middle_name": "ANTHONIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "018437008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821059486",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Cerasale, APRN, FNP
• Dana Jean Cervone, APRN, BC
• Eymy Diana Chacon, APRN
• Jocelyn Bosco Chandler, M.D.
• John Jae Young Chang, MD
• Vicky M Chang, APRN
• Herta Huey-an Chao, M.D., PH.D.
• Audrey Kirsten Chapo, M.S., R.D.
• Stephanie Charney, LADC
• Man Hong Sandra Chau, D.D.S.

• Clinical Social Worker in West Haven, CT
• Providers in West Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.