1760614374 NPI number — MR. BING-SHIAN FRANCIS CHEN MSW, LICSW

Table of content: MR. BING-SHIAN FRANCIS CHEN MSW, LICSW (NPI 1760614374)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760614374 NPI number — MR. BING-SHIAN FRANCIS CHEN MSW, LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHEN
Provider First Name:
BING-SHIAN
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MSW, LICSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHEN
Provider Other First Name:
B. FRANCIS
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW, LICSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1760614374
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1280 MASSACHUSETTS AVE
Provider Second Line Business Mailing Address:
BOX 303
Provider Business Mailing Address City Name:
CAMBRIDGE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02138-3840
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-466-9746
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1280 MASSACHUSETTS AVE
Provider Second Line Business Practice Location Address:
BOX 303
Provider Business Practice Location Address City Name:
CAMBRIDGE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02138-3840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-466-9746
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2009

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:  117048 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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