Meesha Chan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06326100 Issued in NJ

Practice address

2 Buckingham Rd
Lincoln Park, NJ 07035-1444

Phone

(631) 942-5429

NPI assigned

Mar 10, 2016

Last updated

Sep 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Formation Health Services LLC

  • Clinical Social Worker
  • Deer Park, NY
  • NPI 1881434561
  NPD Authorized official
• Meesha Chan LCSW LLC

  • Clinical Social Worker
  • Deer Park, NY
  • NPI 1063254472
  NPD Authorized official

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1447611025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DEFEO CT",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291834",
            "telephone_number": "631-942-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BUCKINGHAM RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351444",
            "telephone_number": "631-942-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MEESHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06326100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089181-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason P Carelis, PT, DPT
• Yanet Carpio
• Center for Family Support, New Jersey, Inc.
• CH Medical NC NJ, PC
• CH MH Services (NJ), LLC (Charlie Health)
• Charles Tabeek & Son Physicians & Hosp. Supply Comp. Inc.
• Jesse Chen, PSY.D.
• Melissa Chichelo
• Jody S Chimbel-Berg, OT
• Christina Cianci, M.S. CCC-SLP

• Clinical Social Worker in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.