| Doctor Name: | MS. ANGELA CARLETA CHANG |
| NPI Number: | 1336437318 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, LCSW-R |
| License Number: | R044643 |
| Business Practice Address: | 8437 Main St Briarwood, NY - 114351643 |
| Business Phone Number: | 6315214348 |
| Business Fax Number: | 6312534525 |
| Mailing Address: | 15046 Shore Ave, JAMAICA |
| State: | NY |
| Postal Code: | 114331930 |
| Phone Number: | 6315214348 |
| Fax Number: | 6312534525 |
| NPI Enumeration Date: | 07/12/2011 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R044643 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |