Shukwah Chan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

073947 Issued in NY

Practice address

5751 Cloverdale Blvd
Oakland Gardens, NY 11364-2450

Phone

(917) 353-0002

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1790157063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 CLOVERDALE BLVD.,",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "11364",
            "telephone_number": "917-353-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 CLOVERDALE BLVD",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642450",
            "telephone_number": "917-353-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SHUKWAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarina Cara
• Carla's Caring OT, P.C.
• E Cha
• Allison Chan
• Christopher Chan, O.D.
• Yan Ting Chan, MS
• Jina Chang
• Nan-Ning S Chang, M.D.
• Seoungjun Chang, PHARMD
• Steven Chen, D.C.

• Social Worker in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.