Jessica Chan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006841 Issued in VA

Practice address

7643 Leesburg Pike
Falls Church, VA 22043-2530

Phone

(703) 328-3563

NPI assigned

May 29, 2008

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

Other identifiers 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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1265690986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8514 JEFFERSONIAN CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822378",
            "telephone_number": "703-328-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432530",
            "telephone_number": "703-328-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JESSICA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF VIRGINIA, DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0904006841",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Chamberlain
• Kalli Chambers, PA
• Kristine Holt Chambers, PA
• Norma Chamma, MD
• Linda Oy-Nee Chan-Lok
• Rajat Chand, MD
• Sidhartha Chandela, MD
• David Wayne Chandler, PHD
• Tejasri Chandrabhatla, DO
• Joby J Chandy, MD

• Clinical Social Worker in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.