Jaja Chen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

62662 Issued in TX

Practice address

345 Owen LN Ste 102
Waco, TX 76710-5583

Phone

(254) 739-9200

NPI assigned

Mar 20, 2019

Last updated

Apr 30, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1598225252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 OWEN LN STE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105583",
            "telephone_number": "254-739-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 OWEN LN STE 102",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105583",
            "telephone_number": "254-739-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JAJA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "62662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Louise Chavez, D.D.S.
• Christina Ann Chen, M. D.
• George Chen, D.O.
• Harvey Robert Chen, MD
• Hongmei Chen
• Leli L Chen, MD
• Pi Y Chen, LPC
• Eve Klein Chesivoir, BA
• Kirsten Nicole Chesley
• Mercy Chieza, PSY.D

• Clinical Social Worker in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.