Healthcare Provider Details

I. General information

NPI: 1942459235
Provider Name (Legal Business Name): HONGCHAU T TANG ASW # 36418, MSW, BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2008
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

P B 10797
WESTMINSTER CA
92683
US

IV. Provider business mailing address

PO BOX 10797
WESTMINSTER CA
92685-0797
US

V. Phone/Fax

Practice location:
  • Phone: 714-485-5589
  • Fax:
Mailing address:
  • Phone: 714-485-5589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberASW 36418
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW 36418
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberASW 36418
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberASW 36418
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW 36418
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW 36418
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: