Individual
CHEN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102306-1
NY
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16241055020638
NYC IDENTIFICATION CARD
NY
01
—
348629715
LEARNER PERMIT
NY
01
—
YSC1790126970
EMPLOYMENT AUTHORIZATION CARD
NY
Enumeration date
09/05/2017
Last updated
12/21/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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