Healthcare Provider Details

I. General information

NPI: 1699196220
Provider Name (Legal Business Name): YUANFEN L CHI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2013
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 PARSONS BLVD
FLUSHING NY
11355
US

IV. Provider business mailing address

4170 MAIN ST # B31012
FLUSHING NY
11355-3823
US

V. Phone/Fax

Practice location:
  • Phone: 718-791-1644
  • Fax:
Mailing address:
  • Phone: 718-878-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number086834-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: