Annie Chan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW88531 Issued in CA

Practice address

20101 Hamilton Ave Ste 155
Torrance, CA 90502-1314

Phone

(213) 247-0923

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Pay Jen Chan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1912348202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE STE 155",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021314",
            "telephone_number": "213-247-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 HAMILTON AVE STE 155",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021314",
            "telephone_number": "213-247-0923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9353 Valley Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701934",
            "country_code": "US",
            "telephone_number": "626-287-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW62966",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW88531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAY",
            "last_name": "CHAN",
            "middle_name": "JEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Chambers, PT
• Brian K Chamides, M.D.
• Chan & Huang Dental Partnership
• Mindy Chan Bahen, PHARM D
• Anna Chan, DDS
• Brenda Moline Chan, P.T.
• Bryan Lee Chan, MD, MPH
• Byron Chew Chan, D.D.S.
• Cindy Kiyomi Chan, OTR/L
• David Chan, MD

• Clinical Social Worker in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.