Individual provider Active NPI

Cynthia Chang Daley, LCSW

  • Clinical Social Worker
  • Covina, CA
National Provider Identifier
1336468776
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26732 Issued in CA
Practice address
750 Terrado PLZ Ste 122
Covina, CA 91723-3411
Phone
(626) 331-7300
NPI assigned
May 25, 2010
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 26732 CA Primary

Addresses

Primary practice location

750 Terrado PLZ Ste 122
Covina, CA 91723-3411

Mailing address

1369 E Level St
Covina, CA 91724-3548
Phone (818) 851-8879

Other practice location 1

19815 Squire Dr
Covina, CA 91724-3458
Phone (626) 383-7656

Other practice location 2

150 S Grand Ave
West Covina, CA 91791-2354
Phone (626) 332-2277

Other practice location 3

1369 E Level St
Covina, CA 91724-3548
Phone (818) 851-8879

Other names 1

  • Ms. Cynthia Chang Former name

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
26732CAMDClinical Social Worker
63570CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Darrell Broaddus Psychological Services PC Past Accepting new patients
Prestigious Health Services Inc PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1336468776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 E LEVEL ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243548",
            "telephone_number": "818-851-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 TERRADO PLZ STE 122",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233411",
            "telephone_number": "626-331-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19815 Squire Dr",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917243458",
            "country_code": "US",
            "telephone_number": "626-383-7656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917912354",
            "country_code": "US",
            "telephone_number": "626-332-2277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1369 E Level St",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917243548",
            "country_code": "US",
            "telephone_number": "818-851-8879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALEY",
        "first_name": "CYNTHIA",
        "middle_name": "CHANG",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "CHANG",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.