National Provider Identifier Database

EVANGELINA CHAN, MSW,LCSW – NPI #1245576248
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

EVANGELINA CHAN, MSW,LCSW
46 ALBION ST
BRIDGEPORT, CT06605-2602
Phone: 203-330-6000
Fax: 203-330-6008
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for EVANGELINA CHAN

NPI Number 1245576248
Credentials MSW,LCSW
Entity Individual
Enumeration date 12/19/2012
Last updated 03/15/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 081696-1
  • CT Medicaid: 004236148
  • CT Other: 008301 LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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