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JIN LI CHAN LICSW
NPI 1023551710
Social Worker - Clinical in St Johnsbury, VT

Active since November 29, 2016PECOS Enrolled
714 BREEZY HILL RD, ST JOHNSBURY, VT 05819(802) 748-7500(802) 745-1188 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jin Li Chan Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIN LI CHAN LICSW (NPI 1023551710) is an individual clinical provider in St Johnsbury, Vermont, licensed in Vermont (089.0092264) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023551710
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJIN LI CHANCredential: LICSW
Location Address714 BREEZY HILL RDSt Johnsbury, VT 05819-8882
Mailing Address1315 Hospital DrSt Johnsbury, VT 05819-9210 · (802) 748-8141 · Fax (802) 748-4098
Phone(802) 748-7500
Fax(802) 745-1188
Sole ProprietorNo
Enumeration DateNovember 29, 2016
✔ NPI 1023551710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VT · 089.0092264
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
714 BREEZY HILL RD, St Johnsbury, VT 05819
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jin Li Chan Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jin Li Chan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeastern Vermont Regional Hospital Inc.
4.3 mi
Primary Care
195 INDUSTRIAL PKWY STE 1
Lyndonville, VT 05851
  • Reassigned Medicare billing, Vermont enrollment
  • 32 clinicians in this Medicare group
NPI 1659459428 (802) 748-9501
Valera Medical, P.A.
276 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, Vermont enrollment
  • Medicare enrollment name: Valera Medical PA
  • 21 clinicians in this Medicare group
NPI 1871248757 (646) 450-7748

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05819 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.80 – $168.48
Typical copayment $0.00 (range $13.95 – $42.12)
Most-billed visit code NA
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOYCE A VITALE NP
Nurse Practitioner
714 BREEZY HILL RD, NVRH KINGDOM INTERNAL MEDICINE
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7500
THOMAS FRANK ZIOBROWSKI MD
Internal Medicine
714 BREEZY HILL RD
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7500
FRANK J MEIERDIERCKS MD
Internal Medicine
714 BREEZY HILL RD
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7500
DR. THOMAS ANDREW MYRTER DO
Family Medicine
714 BREEZY HILL RD
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7500
MRS. DENISE LAFERRIERE PERRY
Audiologist-Hearing Aid Fitter
714 BREEZY HILL RD
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-5126
ROBERT J JAUCH, MD
Otolaryngology
714 BREEZY HILL RD
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-5126
CARYN E EVERETT FNP
Nurse Practitioner (Family)
714 BREEZY HILL RD, NVRH KINGDOM INTERNAL MEDICINE
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jin Li Chan's NPI number?

The NPI number for Jin Li Chan is 1023551710. It was assigned to this individual provider in the NPPES registry on November 29, 2016.

Where is Jin Li Chan located?

Jin Li Chan practices at 714 Breezy Hill Rd, St Johnsbury, VT 05819. The listed phone number is (802) 748-7500.

What is Jin Li Chan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jin Li Chan enrolled in Medicare?

Yes. Jin Li Chan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jin Li Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jin Li Chan reassigns Medicare benefits to 2 organizations: Northeastern Vermont Regional Hospital Inc. (Lyndonville, VT) and Valera Medical, P.A. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jin Li Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jin Li Chan accept?

Health plans from Anthem Blue Cross and Blue Shield list Jin Li Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jin Li Chan was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.