Angela Carleta Chang, PHD, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R044643 Issued in NY

Practice address

1763 Rockaway Pkwy
Brooklyn, NY 11236-5037

Phone

(718) 734-7806

Fax

(631) 920-5111

NPI assigned

Jul 12, 2011

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Family and Community Multiservice Agency Inc

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1356685143
  NPD Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1336437318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15046 SHORE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331930",
            "telephone_number": "631-521-4348",
            "fax_number": "631-253-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365037",
            "telephone_number": "718-734-7806",
            "fax_number": "631-920-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8437 Main St",
            "address_purpose": "LOCATION",
            "city": "Briarwood",
            "state": "NY",
            "postal_code": "114351643",
            "country_code": "US",
            "telephone_number": "631-521-4348",
            "fax_number": "631-253-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANGELA",
        "middle_name": "CARLETA",
        "name_prefix": "Ms.",
        "credential": "PHD, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "044643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Stella Chang Huang
• Chang Jonathan Maung Tin Physician, PC
• Cynthia Chang-Saada
• Andrew A Chang, MD,MPH,MA
• Andrew Hwansoo Chang, DDS
• Angela Han Ping Chang, O.D.
• Austin Gregory Chang, DDS
• Bernadette Chang
• Betty Chang
• Beverley O Chang, PA-C

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.