Individual provider Active NPI

Chaya Sara Choen, LCSW

  • Clinical Social Worker
  • Suffern, NY
National Provider Identifier
1750740031
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080177 Issued in NY
Practice address
14 Burlington Ave
Suffern, NY 10901-7420
Phone
(718) 755-6662
NPI assigned
Feb 16, 2016
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 080177 NY Primary

Addresses

Primary practice location

14 Burlington Ave
Suffern, NY 10901-7420

Mailing address

14 Burlington Ave
Suffern, NY 10901-7420
Phone (718) 755-6662

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (646) 245-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME, MA, UT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20251111001472 NY Practitioner - Clinical Social Worker 7911257829 Reassigns benefits to 1 organization
I20251111001903 ME Practitioner - Clinical Social Worker 7911257829 Reassigns benefits to 1 organization
I20251111002036 MA Practitioner - Clinical Social Worker 7911257829 Reassigns benefits to 1 organization
I20251111002297 UT Practitioner - Clinical Social Worker 7911257829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

63 Federal St
Suite 15
Portland, ME 04101-4222
Phone (866) 630-0966

6975 S Union Park Ctr
Suite 600
Midvale, UT 84047-4187
Phone (866) 630-0966

90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Medical PC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients

Locations

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

63 Federal St
Portland, ME 04101
Phone (207) 400-2560

100 Church St
Fl 8
New York, NY 10007
Phone (347) 719-1051

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 231-1680

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1750740031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BURLINGTON AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017420",
            "telephone_number": "718-755-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BURLINGTON AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017420",
            "telephone_number": "718-755-6662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "646-245-7024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOEN",
        "first_name": "CHAYA",
        "middle_name": "SARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.