Active NPI
Dennis Chung-Yin Wang, M.S.W.
- Social Worker
- Fremont, CA
National Provider Identifier
1386829596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW20630
- Practice address
- 39155 Liberty St
Fremont, CA 94538-1513 - Phone
- (510) 795-2434
- NPI assigned
- Jan 7, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW20630 | CA | Primary |
Addresses
Primary practice location
39155 Liberty St
Fremont, CA 94538-1513
Mailing address
118 Accolade Dr
San Leandro, CA 94577-1597
Phone (510) 633-1519
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW20630 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201910400000",
"number": "1386829596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 ACCOLADE DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771597",
"telephone_number": "510-633-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39155 LIBERTY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381513",
"telephone_number": "510-795-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "DENNIS CHUNG-YIN",
"name_prefix": "Mr.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2008-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW20630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.