Active NPI
Deborah Chiang, LCSW
- Clinical Social Worker
- Valley Cottage, NY
National Provider Identifier
1831205954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 017729
- Practice address
- 612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027 - Phone
- (718) 362-1411
- Fax
- (718) 414-1651
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 017729 | NY | Primary |
Addresses
Primary practice location
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Mailing address
612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (718) 362-1411
Other practice location 1
971 Route 45
Suite 116
Pomona, NY 10970-3500
Phone (845) 354-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02573242 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Bleiwas CSW, PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Harbor Crest Comprehensive Counseling Group
- Clinical Social Worker
- New City, NY
- NPI 1932212628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623715200000",
"number": "1831205954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY STE 2M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892027",
"telephone_number": "718-362-1411",
"fax_number": "718-414-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 CORPORATE WAY STE 2M",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109892027",
"telephone_number": "718-362-1411",
"fax_number": "718-414-1651"
}
],
"practiceLocations": [
{
"address_1": "971 Route 45",
"address_2": "Suite 116",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "NY",
"postal_code": "109703500",
"country_code": "US",
"telephone_number": "845-354-9200",
"fax_number": "845-354-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIANG",
"first_name": "DEBORAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "017729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02573242",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.