Individual provider Active NPI

Andrea Y Chan, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1457997454
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107660 Issued in NY
Practice address
303 5TH Ave RM 1503
New York, NY 10016-6666
Phone
(917) 309-3131
NPI assigned
Nov 25, 2019
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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 107660 NY Primary

Addresses

Primary practice location

303 5TH Ave RM 1503
New York, NY 10016-6666

Mailing address

303 5TH Ave RM 1503
New York, NY 10016-6666
Phone (917) 309-3131

Other practice location 1

302 5th Ave Ste 807
New York, NY 10001-3604
Phone (917) 309-3131

Other practice location 2

26 W 9th St Apt 4D
New York, NY 10011-8919
Phone (917) 309-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.yuensingchan.com Direct

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

LicenseStateTypeSpecialty
107660NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1457997454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166666",
            "telephone_number": "917-309-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166666",
            "telephone_number": "917-309-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 5th Ave Ste 807",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013604",
            "country_code": "US",
            "telephone_number": "917-309-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 W 9th St Apt 4D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100118919",
            "country_code": "US",
            "telephone_number": "917-309-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ANDREA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "107660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yuensingchan.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "302 5th Ave Ste 807",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100013604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.