MISS FONG CHAN MSW NPI 1336479914

NPI Information

NPI: 1336479914
Provider Name: MISS FONG CHAN, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1040 WALTHAM ST
LEXINGTON, MA
ZIP 02421
Phone: (781) 862-3600
Get Directions

MISS Fong Chan, MSW is a mental health counselor in Lexington, MA with 16 years of experience. MISS Fong Chan, MSW NPI is 1336479914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1040 WALTHAM ST
LEXINGTON, MA
ZIP 02421-033
Phone: (781) 862-3600
Fax: (781) 863-5903

The NPI 1336479914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 1/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Y10074	MEDICARE PIN	MASSACHUSETTS
2	042611055	OTHER	MASSACHUSETTS	TAX ID
3	1303287	OTHER	MASSACHUSETTS	MBHP
4	99618201	OTHER	MASSACHUSETTS	NETWORK HEALTH
5	M18633	OTHER	MASSACHUSETTS	BCBS
6	0000023532	OTHER	MASSACHUSETTS	BMC
7	1004745	OTHER	MASSACHUSETTS	NHP
8	1303287	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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