MS. KYUNG CHANG


Address: 581 Bergen Blvd, #4, Ridgefield, NJ 07657-2030
Phone: 2013133346

MS. KYUNG CHANG (NPI# 1811213432) 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) 1811213432
Entity Type Individual
Full Name MS. KYUNG CHANG
Other Name MS. MINA KYUNG CHANG
Credential LCSW
Practice Address 581 Bergen Blvd
#4
Ridgefield
NJ 07657-2030
Mailing Address 3901 Main St
#508
Flushing
NY 11354-5432
Practice Telephone 2013133346
Practice Fax Number 7188881876
Mailing Telephone 2013133346
Mailing Fax Number 7188881876
Enumeration Date 2010-04-08
Last Update Date 2010-04-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
44SC05237500 NJ Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
R032790-1 NY Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
44SC05237500 NJ Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
R032790-1 NY Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
44SC05237500 NJ Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
R032790-1 NY Behavioral Health & Social Service Providers
N 1041S0200X Social Worker
Specialization: School
44SC05237500 NJ Behavioral Health & Social Service Providers
N 1041S0200X Social Worker
Specialization: School
R032790-1 NY Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 44SC05237500 NJ Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist R032790-1 NY Behavioral Health & Social Service Providers

Other Providers KYUNG CHANG

NPI Name Taxonomy Address Enumeration
1174763510 Kyung Sook Chang Pharmacist 3700 Dean Dr Unit 1008, Ventura, CA 93003-3272 2009-02-25
1235572603 Kyung H Chang Pharmacist 9551 S University Blvd, Highlands Ranch, CO 80126 2013-04-16

Office Location

Street Address 581 BERGEN BLVD
#4
City RIDGEFIELD
State NJ
Zip Code 07657-2030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528156494 Meadowlands Anesthesia Associates Specialist 581 Bergen Blvd, Ridgefield, NJ 07657-2030 2006-10-10
1962576322 Meadowlands Pinnacle Anesthesia Specialist 581 Bergen Blvd, Ridgefield, NJ 07657-2030 2006-11-20
1386729283 Susan Leahy-mulroe Social Worker 581 Bergen Blvd, Suite #6, Ridgefield, NJ 07657-2030 2006-10-26
1992894737 Michele Julie Lewis Specialist 581 Bergen Blvd, Ridgefield, NJ 07657-2030 2006-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508383308 Ridgefield Board of Education Respite Care 555 Chestnut Street, Ridgefield, NJ 07657 2017-08-23
1871035154 Nj Happy Care, Inc. Durable Medical Equipment & Medical Supplies 321 Broad Ave Suite 106, Ridgefield, NJ 07657 2016-11-17
1215203724 Chan-kyu Kim Dentist 709 Bergen Blvd., Ridgefield, NJ 07657 2012-03-29
1871775940 Borough of Ridgefield Public Health or Welfare Slocum Avenue, Ridgefield, NJ 07657 2007-11-30
1932321759 Dongkyun Daniel Kim Dentist 321 Broad Ave Building F Unit # 5, Ridgefield, NJ 07657 2007-05-02
1992880413 Walter E Haemmerle Dentist 845 Broad Ave, Ridgefield, NJ 07657 2006-10-25
1548279482 Dennis Barbieri Dentist 605 Broad Ave, Suite 101, Ridgefield, NJ 07657 2006-08-07
1861406746 Agop Artinian Internal Medicine 477 Bergen Blvd, Ridgefield, NJ 07657 2006-07-28
1366969701 Steven Jin Acupuncturist 709 Bergen Blvd, Fl 2, Ridgefield, NJ 07657 2017-08-26
1578000196 Park Dental Arts, LLC Dentist 560 Bergen Blvd, Ridgefield, NJ 07657 2017-01-20
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225649296 Linda Deprima Social Worker 23 Tannery Hill Rd, Ridgefield, CT 06877-2525 2020-08-13
1598399495 Catherine Afragola Cobb Social Worker 51 E Farm Ln, Ridgefield, CT 06877-3432 2020-02-28
1598395881 Meredith Russo Social Worker 9 Grove St Ste B, Ridgefield, CT 06877-4690 2020-01-25
1629542915 Shannon Wargo Social Worker 135 New Rd, Ridgefield, CT 06877-3404 2019-01-20
1124592423 Isabel Lopes Social Worker 90 Grove St Ste 206, Ridgefield, CT 06877-4130 2019-01-20
1003381013 Teamup Counseling, LLC Social Worker 632b Bergen Blvd, Ridgefield, NJ 07657-2021 2018-10-05
1841771474 Teamup Counseling, LLC Social Worker 632 Bergen Blvd Unit B, Ridgefield, NJ 07657-2021 2018-08-22
1740786938 Karen Walant Social Worker 15 Yankee Hill Rd, Ridgefield, CT 06877-3630 2018-04-05
1962939322 Melissa A Kleiwerda Lcsw LLC Social Worker 753 Bergen Blvd Lowr Level, Ridgefield, NJ 07657-1434 2017-05-16
1376996587 Laura Susan Craighead Social Worker 90 Bloomer Rd, Ridgefield, CT 06877 2016-07-22
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Competitor

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City RIDGEFIELD
Zip Code 07657

Improve Information

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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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