Individual provider Active NPI

Kam Keung Chak, LCSW

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1386817047
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW70112 Issued in CA
Practice address
1990 41St Ave
San Francisco, CA 94116-1101
Phone
(415) 753-7400
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW70112 CA Primary
Clinical Social Worker 1041C0700X LCSW70112 CA

Addresses

Primary practice location

1990 41St Ave
San Francisco, CA 94116-1101

Mailing address

1990 41St Ave
San Francisco, CA 94116-1101
Phone (415) 753-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190628001221 CA Practitioner - Clinical Social Worker 4486988110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1990 41St Ave
San Francisco, CA 94116-1101
Phone (415) 753-7400

760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW70112CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Apr 20, 2019 Accepting new patients
City & County of San Francisco Current Accepting new patients
City & County of San Francisco CurrentSince Apr 20, 2019 Accepting new patients
Felton Institute PastSince Jan 21, 2022 Accepting new patients

Locations

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

1990 41st Ave
San Francisco, CA 94116
Phone (415) 753-7255

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1386817047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "415-753-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "415-753-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAK",
        "first_name": "KAM",
        "middle_name": "KEUNG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW70112",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW70112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.