1467404244 NPI number — MISS CHING SUM LEUNG LCSW

Table of content: MISS CHING SUM LEUNG LCSW (NPI 1467404244)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467404244 NPI number — MISS CHING SUM LEUNG LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEUNG
Provider First Name:
CHING
Provider Middle Name:
SUM
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467404244
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
227 MADISON STREET
Provider Second Line Business Mailing Address:
GOUVERNEUR HEALTHCARE SERVICES, BEHAVIORAL HEALTH
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-238-7614
Provider Business Mailing Address Fax Number:
212-238-7009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
227 MADISON STREET
Provider Second Line Business Practice Location Address:
RM 382
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-238-8079
Provider Business Practice Location Address Fax Number:
212-238-7399
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  077902 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 077902 . This is a "NYS SOCIAL WORKER LICENSE NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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