Jenny Chun-Yin Chim-Wong, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069402-1 Issued in NY

Practice address

6501 Bay Pkwy
C Level,
Brooklyn, NY 11204-3948

Phone

(917) 238-4415

Fax

(718) 259-0442

NPI assigned

Aug 29, 2011

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

Other names 1

• Ms. Jenny Chun-Yin Chim Other name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1679854152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 16TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141005",
            "telephone_number": "917-238-4415",
            "fax_number": "718-259-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BAY PKWY",
            "address_2": "C LEVEL,",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043948",
            "telephone_number": "917-238-4415",
            "fax_number": "718-259-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIM-WONG",
        "first_name": "JENNY",
        "middle_name": "CHUN-YIN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069402-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "CHIM",
            "middle_name": "CHUN-YIN",
            "prefix": "MS.",
            "credential": "L.C.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Layla Madeline Childs
• Deanna J Chillemi
• Seeta Chillumuntala
• Robin Hanna Chilton, LMSW
• Chim Psychotherapy LCSW PLLC
• Yuet Chim, LCSW
• Davinder Chima
• Neeraj Satyaprakash Chimanji, M.D.
• Welthon Chimanski
• Aliza Chimene-Weiss, LCSW

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Aug 29, 2011; 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.

Verify at the official NPI Registry.