Joseph A Chan, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05184400 Issued in NJ

Practice address

85 Park St
Montclair, NJ 07042-2905

Phone

(973) 202-1421

Fax

(973) 707-7616

NPI assigned

Jan 30, 2007

Last updated

Aug 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1962548560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422905",
            "telephone_number": "973-202-1421",
            "fax_number": "973-707-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422905",
            "telephone_number": "973-202-1421",
            "fax_number": "973-707-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05184400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "205791081",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Jibnie F Ceus
• Mitchel Jonathan Chalek, L.AC.
• Charbel T Chalfoun, M.D.
• Jasmine Chambers
• Champs Medical Transport (Champs Medical)
• Sangeetha Chandramohan, MD, MPH
• Erica Chang, DDS
• Charles S Goldberg MD PA
• Carole A Chasmar, OT
• Jill Diana Chasse, PHD, DRPH, ND, IMD

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, 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 Aug 13, 2009; 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.