Angelica Chung

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

262 Woodward Ave
Kenmore, NY 14217-1539

Phone

(716) 858-2587

Fax

(716) 856-2608

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Bestself Behavioral Health, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orchard Park, NY
  • NPI 1891907507
  NPD (past)

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962916387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 WOODWARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171539",
            "telephone_number": "716-858-2587",
            "fax_number": "716-856-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 WOODWARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171539",
            "telephone_number": "716-858-2587",
            "fax_number": "716-856-2608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142011886",
            "country_code": "US",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142011886",
            "country_code": "US",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cho-an Chen
• Shuxia Chen, OTR/L
• Daniel Cheng, PHARMD
• Eric Chiazza
• Juyoung Cho, OTR/L
• Nicole Cianchetti, OTR/L
• Joseph Anthony Cicatello III
• Heather Colleen Cipollitti, PT
• Christie Lynn Cislo
• Ann Cecelia Clark, SLP

• Social Worker in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Social Worker in New York

• 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.