Active NPI
Bonnie Chang
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1366933160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118989
- Practice address
- 15 Parkman Street
Wac 037
Boston, MA 02114 - Phone
- (617) 724-1247
- NPI assigned
- May 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118989 | MA | Primary |
Addresses
Primary practice location
15 Parkman Street
Wac 037
Boston, MA 02114
Mailing address
15 Parkman St
Wac 037
Boston, MA 02114
Phone (617) 724-1247
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118989 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1366933160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PARKMAN ST",
"address_2": "WAC 037",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-724-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PARKMAN STREET",
"address_2": "WAC 037",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-724-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "BONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.