Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Chan

Individual provider Clinical Social Worker · NPI 1538643366

Carly Chan is a Clinical Social Worker in Cerritos, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

17707 Studebaker Rd
Cerritos, CA 90703-2640
Phone: (562) 402-0688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6851 Lennox Ave Ste 100, Van Nuys, CA 91405-4076 — (818) 739-5400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100409 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence ACSW85929 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1538643366
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2018
Last updated in NPPESJune 9, 2021
Certification dateJune 9, 2021
Mailing address9650 Zelzah Ave, Northridge, CA 91325-2003

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