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CHIN LUNG FONG LCSW
NPI 1871149922
Social Worker - Clinical in Dublin, CA

Active since August 14, 2019Opted out of Medicare · through Dec 29, 2027
4800 TASSAJARA RD, DUBLIN, CA 94568(415) 706-7508 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, May 24, 2022, Aug 20, 2019 and 1 more (4 updates tracked since 2019).

About Chin Lung Fong Lcsw NPPES

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

CHIN LUNG FONG LCSW (NPI 1871149922) is an individual clinical provider in Dublin, California, licensed in California (107049) and active in the NPI registry since August 2019. He has opted out of Medicare through December 29, 2027 and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1871149922
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHIN LUNG FONGCredential: LCSW
Location Address4800 TASSAJARA RDDublin, CA 94568-4509
Mailing Address4850 Tassajara Rd Apt 2312Dublin, CA 94568-4602 · (415) 706-7508 · Fax (925) 685-1528
Phone(415) 706-7508
Sole ProprietorYes
Enumeration DateAugust 14, 2019
Last NPPES UpdateJune 25, 20244 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1871149922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 107049
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.
Also ListedSocial WorkerTaxonomy 104100000X · License ASW90172 (CA)
4800 TASSAJARA RD, Dublin, CA 94568
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Other Names 1

Other Name (5)Chin Lung Fong Kyle Fong

Secondary Practice Location 1

Location 12827 Concord BlvdConcord, CA 94519-2608 · Phone (925) 685-9670 · Fax (925) 685-1528

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Chin Lung Fong Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2023 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2023
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Chin Fong's NPI number?

The NPI number for Chin Fong is 1871149922. It was assigned to this individual provider in the NPPES registry on August 14, 2019. The provider is also known as Chin Lung Fong Kyle Fong.

Where is Chin Fong located?

Chin Fong practices at 4800 Tassajara Rd, Dublin, CA 94568. The listed phone number is (415) 706-7508.

What is Chin Fong's specialty?

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

Is Chin Fong enrolled in Medicare?

No. Chin Fong has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Chin Fong was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.