Provider Demographics
NPI:1467513762
Name:CHOW, CHOI LING (LICSW)
Entity Type:Individual
Prefix:
First Name:CHOI LING
Middle Name:
Last Name:CHOW
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:OWAN
Other - Middle Name:
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:145 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-2826
Mailing Address - Country:US
Mailing Address - Phone:617-521-6730
Mailing Address - Fax:617-457-6696
Practice Address - Street 1:145 SOUTH ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-2826
Practice Address - Country:US
Practice Address - Phone:617-521-6730
Practice Address - Fax:617-457-6696
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10302671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical