Mary Chang, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

78701 Issued in CA

Practice address

2090 Evans LN
San Jose, CA 95125-2072

Phone

(408) 793-2400

NPI assigned

Apr 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942644174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 BOYNTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951172805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 EVANS LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951252072",
            "telephone_number": "408-793-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120 Woodside Ave",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113773577",
            "country_code": "US",
            "telephone_number": "718-779-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MARY",
        "name_prefix": "Miss",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78701",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0888191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layling Chang
• Lingyin Chang
• Lorebelle Chang, MSN, RN
• Marcello Kendrew Chang, MD
• Maria Chang, M.D.
• Megan Chang, OT-PH.D
• Mei-Rong Lee Chang
• Mervyn Charles Chang, DDS
• Michael Tsung-Hsiang Chang, MD
• Shaochen Chang

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, 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 Mar 17, 2018; 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.