Active NPI
Joseph Chang, LCSW
- Clinical Social Worker
- Wayne, NJ
National Provider Identifier
1770943128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC0618900
- Practice address
- 1125A Valley Rd
Wayne, NJ 07470-2338 - Phone
- (646) 270-6136
- NPI assigned
- Feb 27, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088968 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC0618900 | NJ | Primary |
Addresses
Primary practice location
1125A Valley Rd
Wayne, NJ 07470-2338
Mailing address
1125A Valley Rd
Wayne, NJ 07470-2338
Phone (646) 270-6136
Other names 1
- Mr. Jo Sep Chang
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC0618900 | NJ | MD | Clinical Social Worker |
| 088968 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.a. | Social Worker | Current | Accepting new patients |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Valera Medical, P.C. | Social Worker | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Clinical | Current | Accepting new patients |
| Korean Community Services of Metropolitan New York, Inc. | Past | Accepting new patients |
Locations
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
134 N 4th St
Brooklyn, NY 11249
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751
Organizations & group practices 5
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.
-
- Community/Behavioral Health Agency
- Flushing, NY
- NPI 1942687868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1770943128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125A VALLEY RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702338",
"telephone_number": "646-270-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125A VALLEY RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702338",
"telephone_number": "646-270-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-27",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088968",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC0618900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JO",
"last_name": "CHANG",
"middle_name": "SEP",
"prefix": "MR.",
"credential": "MSW, LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.