Active NPI
Careen S Chang, LCSW
- Clinical Social Worker
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 041444
- Practice address
- 13626 37TH Ave
Flushing, NY 11354-6533 - Phone
- (718) 886-1212
- Fax
- (718) 886-3903
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 041444 | NY | Primary |
Addresses
Primary practice location
13626 37TH Ave
Flushing, NY 11354-6533
Mailing address
125 Walker St FL 2
New York, NY 10013-4135
Phone (212) 226-8866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041444 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Northern Blvd
Suite 311
Great Neck, NY 11021-5329
Phone (516) 788-8901
135 Vanderbilt Ave
Staten Island, NY 10304-2604
Phone (800) 275-3243
250 Beach 17TH St
Far Rockaway, NY 11691-4420
Phone (800) 275-3243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Senior Psychological Services, PC | Clinical | Current | Accepting new patients |
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Li Health Services LCSW PLLC | Clinical | Current | Accepting new patients |
| Charles B. Wang Community Health Center, Inc. | Past | Accepting new patients |
Locations
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
1010 Northern Blvd
Ste 311
Great Neck, NY 11021
Phone (516) 788-8901
28 Maple Pl
Unit 1304
Manhasset, NY 11030
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
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.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Social Worker
- Great Neck, NY
- NPI 1437916186
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1144203498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1467003509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALKER ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134135",
"telephone_number": "212-226-8866",
"fax_number": "212-226-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13626 37TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546533",
"telephone_number": "718-886-1212",
"fax_number": "718-886-3903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "CAREEN",
"middle_name": "S",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "041444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "041444",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.