National Provider Identifier

Idalia Chang, LCSW

Idalia Chang, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 241-1402.

NPI 1356747232Rochester, NYClinical Social Worker

Source: public NPPES record, last updated November 05, 2014. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1356747232
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
November 05, 2014
Last Updated
November 05, 2014

Practice Location

  • 1111 Elmwood Ave
  • Rochester, NY 14620-3005

Phone: (585) 241-1402

Specialties

  • Clinical Social Worker (1041C0700X)

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Full Record
NPI
1356747232
Entity Type
Individual
Last Name
Chang
First Name
Idalia
Credential
LCSW
Mailing Street Address
1111 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3005
Mailing Country
US
Mailing Phone
(585) 241-1402
Mailing Fax
(585) 241-1273
Practice Street Address
1111 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3005
Practice Country
US
Practice Phone
(585) 241-1402
Practice Fax
(585) 241-1273
Enumeration Date
November 05, 2014
Last Updated
November 05, 2014
Sex
Female
Sole Proprietor
Yes
Taxonomies
Clinical Social Worker (1041C0700X)