Individual provider Active NPI

Jennie Ching Hwang-Lu, LCSW, CASAC

  • Clinical Social Worker
  • Montrose, NY
National Provider Identifier
1225145113
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048585-1 Issued in NY
Practice address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone
(914) 737-4400
Fax
(914) 788-4371
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9630 NY
Clinical Social Worker 1041C0700X R048585-1 NY Primary

Addresses

Primary practice location

2094 Albany Post Rd
Montrose, NY 10548-1454

Mailing address

2094 Albany Post Rd
Montrose, NY 10548-1454
Phone (914) 737-4400

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9630NYMDAddiction (Substance Use Disorder) Counselor
R048585-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1225145113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 ALBANY POST RD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "105481454",
            "telephone_number": "914-737-4400",
            "fax_number": "914-788-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG-LU",
        "first_name": "JENNIE",
        "middle_name": "CHING",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "9630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048585-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.