Patricia Carmelle Chan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072826 Issued in NY

Practice address

56 Saddler LN
Levittown, NY 11756-3419

Phone

(347) 768-0866

NPI assigned

Nov 17, 2010

Last updated

Nov 21, 2014By the provider in NPPES

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1770885105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SADDLER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563419",
            "telephone_number": "347-768-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 SADDLER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563419",
            "telephone_number": "347-768-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PATRICIA",
        "middle_name": "CARMELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Philip Celentano, LMHC
• Central Nassau Optical, Inc.
• Central Nassau Pediatrics, P.C.
• CH MH Services (Ny), LLC (Charlie Health)
• Surya Shaju Chalil-Murthy, PA-C
• Amanda Charalambous, LMSW
• Gigi Charalambous, LCSW-R
• Janeen Chasan, LCAT
• Laura Rose Chase, PMHNP-BC
• Maria Cheung, RPH

• Clinical Social Worker in Levittown, NY
• Providers in Levittown, 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 Nov 21, 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.

Verify at the official NPI Registry.