Individual provider Active NPI

Wai-Por Cheng, L.I.C.S.W.

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1346336476
Registry record updated Apr 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1019428 Issued in MA
Practice address
77 E Merrimack St Ste 23
Lowell, MA 01852-1900
Phone
(978) 452-3711
Fax
(978) 441-9351
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 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 1019428 MA Primary

Addresses

Primary practice location

77 E Merrimack St Ste 23
Lowell, MA 01852-1900

Mailing address

7 Woodbine St
Reading, MA 01867-2346
Phone (781) 219-7617

Other identifiers 1

IdentifierTypeStateIssuer
110032066AMedicaidMA

Other names 1

  • Mr. Richard W.P. Cheng Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20080528000115 MA Practitioner - Clinical Social Worker 1052481454 Practice locations: Lowell, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

77 E Merrimack St
Suite 23
Lowell, MA 01852-1900
Phone (978) 452-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522540800000",
    "number": "1346336476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WOODBINE ST",
            "city": "READING",
            "state": "MA",
            "postal_code": "018672346",
            "telephone_number": "781-219-7617",
            "fax_number": "781-942-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MERRIMACK ST STE 23",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521900",
            "telephone_number": "978-452-3711",
            "fax_number": "978-441-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "WAI-POR",
        "name_prefix": "Mr.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110032066A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "CHENG",
            "middle_name": "W.P.",
            "prefix": "MR.",
            "credential": "L.I.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.