Active NPI
Xuejun CHI, LCSW
- Clinical Social Worker
- Flushing, NY
National Provider Identifier
1750428488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079755
- Practice address
- 14015B Sanford Ave
Flushing, NY 11355-2557 - Phone
- (718) 358-8288
- Fax
- (718) 358-5265
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11714 | NY | |
| Clinical Social Worker | 1041C0700X | 079755 | NY | Primary |
Addresses
Primary practice location
14015B Sanford Ave
Flushing, NY 11355-2557
Mailing address
140-15B Sanford Ave.
Flushing, NY 11355
Phone (646) 267-6885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11714 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Child Center of Ny, Inc. | Current | Accepting new patients |
Locations
14015 Sanford Ave
Ste B
Flushing, NY 11355
Phone (718) 450-9242
11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Forest Hills, NY
- NPI 1649329806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1750428488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140-15B SANFORD AVE.",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11355",
"telephone_number": "646-267-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015B SANFORD AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552557",
"telephone_number": "718-358-8288",
"fax_number": "718-358-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "XUEJUN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "11714",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.