ANGELA CHAN


Address: 25 Beach St., Dorcester, MA 02122
Phone: 6176911704

ANGELA CHAN (NPI# 1770807968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770807968
Entity Type Individual
Full Name ANGELA CHAN
Credential MSW
Practice Address 25 Beach St.
Dorcester
MA 02122
Mailing Address 4 Milton St
Newton
MA 02465-1014
Practice Telephone 6176911704
Enumeration Date 2010-03-17
Last Update Date 2016-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
PCSW-386 WY Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
217281 MA Behavioral Health & Social Service Providers
Y 251C00000X Day Training, Developmentally Disabled Services MA Agencies

Other Providers ANGELA CHAN

NPI Name Taxonomy Address Enumeration
1972023307 Angela Suk-man Chan Dentist 946 S Watson Rd Ste 101, Buckeye, AZ 85326-3430 2017-06-27
1366805798 Angela Chan Student in an Organized Health Care Education/Training Program 2155 82nd St Apt 6j, Brooklyn, NY 11214-2527 2016-04-02
1649779117 Angela Chan Occupational Therapy Assistant 740 S Placentia Ave Ste 100, Placentia, CA 92870-6832 2018-02-09
1972040988 Angela Vu Chan Pharmacist 450 10th St, San Francisco, CA 94103-4304 2017-01-27
1972906576 Angela Chan Nurse Practitioner 1275 York Ave, New York, NY 10065 2014-09-27
1386081693 Angela Yu-wah Chan Pharmacist 57 E Burnside Ave, Bronx, NY 10453 2013-05-28
1952559064 Angela Mei Chan Pediatrics 125 Walker St Fl 2, New York, NY 10013-4135 2008-09-03
1649441338 Angela S Chan Internal Medicine 7615 Eastern Ave, Bell Gardens, CA 90201-4509 2008-03-20
1205909512 Angela Lai Chan Internal Medicine 2417 Central Ave, Alameda, CA 94501-4515 2006-11-16
1801996483 Angela I Chan Internal Medicine 3928 Pacific Ave Se, Lacey, WA 98503-1109 2006-09-24

Office Location

Street Address 25 BEACH ST.
City DORCESTER
State MA
Zip Code 02122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033720875 Joey Mark Nguyen Pharmacist 747 Gallivan Blvd, Dorchester, MA 02122 2020-08-14
1518575240 Hamilton Pharmacy LLC Pharmacy 246 Bowdoin St, Dorchester, MA 02122 2020-07-20
1336789528 Katheline Leconte Social Worker 230 Bowdoin Street, Dorchester, MA 02122 2020-01-15
1700374725 Renee Ahern Registered Nurse 398 Neponset Ave., Dorchester, MA 02122 2018-04-25
1861902371 Bridget Mary Walsh Specialist/Technologist 519 Ashmont St, Dorchester, MA 02122 2017-10-10
1649798133 Roosevelt Lewis IIi Registered Nurse 1486 Dorchester Ave Ste 206, Boston, MA 02122 2017-09-05
1811427404 Hanh Nguyen Counselor 50 Redfield St, Suite 300, Dorchester, MA 02122 2017-06-15
1669902474 Thuy T Nguyen Counselor 415 Neponset Avenue, Dorchester, MA 02122 2017-06-14
1093262651 David Scot Rapaport Counselor 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 2016-09-01
1104372960 Kevin Lyn Sisson Student in an Organized Health Care Education/Training Program 417 Neponset Ave, Boston, MA 02122 2016-08-31
Find all providers in zip 02122

Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790385631 Dynamic Support Team LLC Day Training, Developmentally Disabled Services 20 Commercial Dr, Dracut, MA 01826-2837 2020-10-29
1992363741 Lifelinks, Inc Day Training, Developmentally Disabled Services 50t Concord St, Wilmington, MA 01887-2179 2019-06-05
1710541479 Northeast Arc Day Training, Developmentally Disabled Services 100 Independence Way Ste W150, Danvers, MA 01923-3626 2019-04-29
1841758463 Launchpad LLC Day Training, Developmentally Disabled Services 3 Oakhill Ave, Foxborough, MA 02035-2926 2019-03-04
1295290765 Moving Forward Inc. Day Training, Developmentally Disabled Services 141 Falmouth Rd, Hyannis, MA 02601-2755 2019-02-08
1326570235 Venture Community Services, Inc Day Training, Developmentally Disabled Services 670 Douglas St, Uxbridge, MA 01569-2001 2017-03-30
1063964351 Autism Advocates of New England Inc Day Training, Developmentally Disabled Services 10 Ashburnham Rd, Worcester, MA 01605-1310 2016-11-02
1205208220 Ashley Ortiz Day Training, Developmentally Disabled Services 90 Fenno St, Revere, MA 02151-3808 2015-10-29
1083092274 Cardinal Cushing Centers, Inc. Day Training, Developmentally Disabled Services 291 Rockland St, Hanover, MA 02339-2385 2015-05-08
1245649151 Nupath Inc. Day Training, Developmentally Disabled Services 7 Lyberty Way, Westford, MA 01886-3617 2014-08-05
Find all providers with the same taxonomy

Competitor

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City DORCESTER
Zip Code 02122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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