Kwan K Wong, L.C.S.W.R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R049693-1 Issued in NY

Practice address

14015B Sanford Ave FL 2
Flushing, NY 11355-2557

Phone

(718) 358-8288

Fax

(718) 358-5265

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1528105210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ARBOR RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914901",
            "telephone_number": "516-584-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015B SANFORD AVE FL 2",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552557",
            "telephone_number": "718-358-8288",
            "fax_number": "718-358-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "KWAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049693-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Wong
• Jay Wong, PHARMD
• Judy Wong
• Kevin Wong, D.O,
• Kitching Rhoda Wong, LCSW
• Leila Sagalla Wong, PT
• Lewis Alexander Wong, MD
• Maggie Wong, R.N.
• Megan Wong, DO
• Michael Hon Por Wong

• Clinical Social Worker in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.