Cliff Chong Psychotherapy and Consultation PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLIFF CHONG PSYCHOTHERAPY AND CONSULTATION PLLC

Practice address

2703 Sol Wilson Ave
Austin, TX 78702-2556

Phone

(360) 510-2641

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Cliff Chong, LCSWNPI 1891366811

Title

Managing Member

Phone

(360) 510-2641

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cliff Chong, LCSW

  • Clinical Social Worker
  • Austin, TX
  • NPI 1891366811
  NPD Authorized official

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1972176352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 SOL WILSON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 SOL WILSON AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787022556",
            "telephone_number": "360-510-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFF CHONG PSYCHOTHERAPY AND CONSULTATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-510-2641",
        "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": []
}

• Denise Lynn Cleveland, LCSW
• Telisa L Clevenger-Smith, LMFTA
• Click Clinician Inc
• Abigail Gloria Click, MS, RD, LDN, CNSC
• Client Focused Counseling, PLLC
• Catherine Clifford
• Erin Clifford, RN
• Stephanie Clifford, RD LD
• Alison Joy Clifton
• Kathryn Clifton

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.