Sean Changlai, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085533-1 Issued in NY

Practice address

42 Broadway # 12-13
New York, NY 10004-1617

Phone

(174) 969-6219

NPI assigned

Nov 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestone Psychotherapy and Consultation LLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1750161444
  NPD (past) Authorized official

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1780929992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MAXWELL LN APT 814",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070306852",
            "telephone_number": "818-357-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY # 12-13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041617",
            "telephone_number": "174-969-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGLAI",
        "first_name": "SEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05783900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085533-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780929992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yunyoung Claire Chang, M.D.
• Florence Ching-Fen Chang., MBBS.
• Abhinav Rajendra Changa, MD
• Change to Evolve LLC
• Changing the Narrative Mental Health Counseling PLLC
• Dechaboon Changsirivathanathamrong, MD
• Ann Beth Chanler, PH.D.
• Nica Chanliecco, PA-C
• Catherine Ibarra Channell
• Odalys Adriana Chano, MA CCC-SLP TSSLD

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Aug 20, 2019; 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.