SAMUEL CHEN LCSW
NPI 1023792512
Social Worker - Clinical in Ridgewood, NJ
About Samuel Chen Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL CHEN LCSW (NPI 1023792512) is an individual clinical provider in Ridgewood, New Jersey, licensed in New Jersey (44SC06206500) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Chen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Chen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ridgewood, NJ 07450
- Reassigned Medicare billing, New Jersey enrollment
- 33 clinicians in this Medicare group
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 07450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Chen's NPI number?
The NPI number for Samuel Chen is 1023792512. It was assigned to this individual provider in the NPPES registry on June 14, 2023.
Where is Samuel Chen located?
Samuel Chen practices at 120 Chestnut St, Ridgewood, NJ 07450. The listed phone number is (291) 444-3550.
What is Samuel Chen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Samuel Chen enrolled in Medicare?
Yes. Samuel Chen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Chen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Chen reassigns Medicare benefits to West Bergen Mental Healthcare, Inc. (Ridgewood, NJ). The 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 Samuel Chen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samuel Chen was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samuel Chen, LCSW · NPI 1023792512
Clinical provider in Ridgewood, New Jersey. Individual provider, active in the CMS NPPES registry since June 14, 2023.
## Identity
- **NPI:** 1023792512 (Entity type: Individual)
- **Enumerated:** June 14, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SC06206500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 120 CHESTNUT ST, Ridgewood, NJ 07450-2504
- **Phone:** (291) 444-3550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** West Bergen Mental Healthcare, Inc. (NPI 1881755973, Ridgewood, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023792512) · Data from the CMS NPPES public registry.