Peggy Yi Shan Chang, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

85513 Issued in CA

Practice address

18623 Gale Ave
City of Industry, CA 91748-1342

Phone

(626) 839-0300

NPI assigned

May 17, 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

• Yi Shan Chang Other name

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1740573237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E SANTONA CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906319261",
            "telephone_number": "909-569-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18623 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481342",
            "telephone_number": "626-839-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "PEGGY",
        "middle_name": "YI SHAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YI SHAN",
            "last_name": "CHANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yihwa Jung Chai, RPH
• Christina Chaidez
• Nilantika Chakraborty
• Blair Nicole Chandler
• Huiling Chang
• Peter Chang, PHARM.D.
• Yu Ting Chang
• Yuan-Fei Faye Chang, M.D.
• Shyan Pay Chao
• Brenda Chavelas

• Clinical Social Worker in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.