Kyung Chang, LCSW
Individual provider Active NPI Clinical Social Worker · Ridgefield, NJ
NPI 1811213432 · NPPES record last updated Apr 8, 2010
Key facts
- NPI
- 1811213432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05237500 (NJ)
- Practice address
- 581 Bergen Blvd
#4
Ridgefield, NJ 07657-2030 - Phone
- (201) 313-3346
- Fax
- (718) 888-1876
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05237500 | NJ | MD | Mental Health Counselor |
| R032790-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R032790-1 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 44SC05237500 | NJ | |
| Mental Health Counselor | 101YM0800X | R032790-1 | NY | |
| Mental Health Counselor | 101YM0800X | 44SC05237500 | NJ | |
| Clinical Social Worker | 1041C0700X | R032790-1 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC05237500 | NJ | Yes |
| School Social Worker | 1041S0200X | R032790-1 | NY | |
| School Social Worker | 1041S0200X | 44SC05237500 | NJ | |
| Marriage & Family Therapist | 106H00000X | R032790-1 | NY | |
| Marriage & Family Therapist | 106H00000X | 44SC05237500 | NJ |
Addresses
Primary practice location
581 Bergen Blvd
#4
Ridgefield, NJ 07657-2030
Mailing address
3901 Main St
#508
Flushing, NY 11354-5432
Phone (201) 313-3346
Other names
- Ms. Mina Kyung Chang
Other providers in Ridgefield, NJ
- Paul Anthony Calinog
- Maryvonne Claude Cardell
- Suleika M Cardoza
- Sergio Andres Chamorro
- Jae Yong Chang
- Changs Acupuncture & Herbs, PC
- Chiropractic Healthcare Associates
- Choi Medical Group P.C.
- Mal Bong Choi
- Seung Jin Choi
All providers in Ridgefield, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.