Chung Psychotherapy LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHUNG PSYCHOTHERAPY LCSW LLC

Practice address

140 County Rd Ste 106
Tenafly, NJ 07670-1842

Phone

(551) 697-3845

NPI assigned

Mar 1, 2022

Organization subpart

Yes

Parent organization

CHUNG PSYCHOTHERAPY LCSW LLCAs reported in NPPES

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

Authorized official

Name

Tracy S Chung, LCSWNPI 1578936043

Title

Clinical Licensed Social Worker

Phone

(551) 697-3845

Specialties & licenses 1

Addresses

Other names 1

• Heart to Heart counseling Doing business as

Part of

Chung Psychotherapy LCSW LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy S. Chung, L.S.W

  • Clinical Social Worker
  • Paramus, NJ
  • NPI 1578936043
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1871249656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 CROCKER PL",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411206",
            "telephone_number": "551-697-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNTY RD STE 106",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701842",
            "telephone_number": "551-697-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG PSYCHOTHERAPY LCSW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHUNG PSYCHOTHERAPY LCSW LLC",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "551-697-3845",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart to Heart counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alec B Chiu
• Jason CHI-Shin Chiu, MD
• Monette Choi
• Lynn Christensen, CLC, LCCE, CD
• Marios Christodoulou, PT, DPT
• Jacob Hanbid Chung, MD
• Circathera Corp
• Craig Clary
• Gil Cnaani
• County Manor Rehabilitation & Health Care Center

• Clinical Social Worker in Tenafly, NJ
• Providers in Tenafly, 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 Mar 1, 2022; 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.