Yuen Shan Manna Chan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069763 Issued in NY

Practice address

2 University PLZ Ste 100
Hackensack, NJ 07601-6210

Phone

(908) 605-0542

Fax

(917) 383-3378

NPI assigned

Oct 1, 2010

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

Other identifiers 1

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

State licenses

Practice roles

Locations

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.

• Morningside LCSW PLLC

  • Clinical Social Worker
  • Hackensack, NJ
  • NPI 1841990264
  NPD Authorized official
• Valera Medical, P.a.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1306435060

  Clinical

  NPD
• Valera Medical, P.C.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1437782349

  Clinical

  NPD
• Charles B. Wang Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1144203498
  NPD (past)
• Lower Eastside Service Center, Inc.

  • Methadone Clinic
  • New York, NY
  • NPI 1063637817
  NPD (past)

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1801105283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 100",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016210",
            "telephone_number": "908-605-0542",
            "fax_number": "917-383-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 100",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016210",
            "telephone_number": "908-605-0542",
            "fax_number": "917-383-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YUEN SHAN",
        "middle_name": "MANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03275945",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neetu Chahil, MD
• Dahlia Chalabi
• Mira Yazigi Chalet, M.D.
• Wendy Lynn Champey, M.D.
• Champions Oncology
• Kavin Chand, PA-C
• Naresh Chanderi, MD
• Arthur W Chaney Jr., M.D.
• Dewey A Chaney, M.D.
• Robert Chang

• Clinical Social Worker in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.