MEDICARE: ELLEN GENG HAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1467768341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLEN GENG HAN LCSW

Provider Business Mailing Address
First Line	:	713 W DUARTE RD STE G-290
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7564
Country	:	US
Telephone Number	:	714-932-7732
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 W DUARTE RD STE 290
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91007-7564
Country	:	US
Telephone Number	:	909-901-3001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	01/02/2026

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