Provider Demographics
NPI:1881001188
Name:CHEN, DUI (LCSW)
Entity Type:Individual
Prefix:
First Name:DUI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:DUI
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-0352
Mailing Address - Country:US
Mailing Address - Phone:650-257-0379
Mailing Address - Fax:
Practice Address - Street 1:1700 S AMPHLETT BLVD STE 250I
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2728
Practice Address - Country:US
Practice Address - Phone:650-257-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical