ANGELA CHAN (NPI# 1770807968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
25 BEACH ST. |
City | DORCESTER |
State | MA |
Zip Code | 02122 |
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 Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
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. |
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 |
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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.