Active NPI
Michelle Lin Chu Lam
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1710436217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 096743-1
- Practice address
- 837 58TH St
3Rd Floor
Brooklyn, NY 11220-3662 - Phone
- (718) 686-1533
- NPI assigned
- Sep 25, 2016
- 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 | 096743-1 | NY | Primary |
Addresses
Primary practice location
837 58TH St
3Rd Floor
Brooklyn, NY 11220-3662
Mailing address
837 58TH St
3Rd Floor
Brooklyn, NY 11220-3662
Phone (718) 686-1533
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220330001942 | NY | Practitioner - Clinical Social Worker | 6406242486 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096743-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinese-American Sunshine House Inc | Clinical | Current | Accepting new patients |
Locations
6304 5th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 576-3610
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474761600000",
"number": "1710436217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 58TH ST",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203662",
"telephone_number": "718-686-1533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 58TH ST",
"address_2": "3RD FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112203662",
"telephone_number": "718-686-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "MICHELLE",
"middle_name": "LIN CHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2016-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096743-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.