Nicole Chan is a Clinical in Monterey Park, California. Nicole Chan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nicole Chan is 1134178379. The last update date is 2012-02-01.
Nicole Chan's current location address is 941 S. Atlantic Blvd,, Monterey Park, California. You can contact this provider via phone number 6262844202 and fax number 6262843926. The mailing address for Nicole Chan is 941 S. Atlantic Blvd,, Monterey Park, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicole Chan |
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Address | 941 S. Atlantic Blvd,, Monterey Park, California |
Phone Number | 6262844202 |
Fax Number | 6262843926 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1134178379 |
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Provider Enumeration Date | 2006-05-06 |
Last Updated Date | 2012-02-01 |
Provider Mailing Address Detail
Address | 941 S. Atlantic Blvd, |
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City | Monterey Park |
State | California (CA) |
Post Code | 917544722 |
Phone Number | 6262844202 |
Fax Number | 6262843926 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 17219 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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LCS17219 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Nicole Chan by the Centers for Medicare & Medicaid Services (CMS)?
The Nicole Chan has been assigned the NPI (National Provider Identifier) 1134178379. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Nicole Chan's facilities are geographically located?
The facilities of Nicole Chan are physically situated at the following location: 941 S. Atlantic Blvd,, Monterey Park, CA, 917544722.
What is the Nicole Chan's specialty and taxonomy code?
The Nicole Chan's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Nicole Chan receive its 1134178379 assignment from the Centers for Medicare & Medicaid Services?
The Nicole Chan was assigned its 1134178379 by the Centers for Medicare & Medicaid Services on 2006-05-06.
When was the information regarding Nicole Chan most recently updated?
The details pertaining to the Nicole Chan, including its address, specialty, and other relevant information, were last refreshed on 2012-02-01.