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.
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)
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)