Provider Demographics
NPI:1285758862
Name:HSIAO, SHU CHEN (LCSW, PPSC)
Entity type:Individual
Prefix:MRS
First Name:SHU CHEN
Middle Name:
Last Name:HSIAO
Suffix:
Gender:F
Credentials:LCSW, PPSC
Other - Prefix:
Other - First Name:SUH CHEN
Other - Middle Name:
Other - Last Name:HSIAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PPSC
Mailing Address - Street 1:704 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-3017
Mailing Address - Country:US
Mailing Address - Phone:310-832-7545
Mailing Address - Fax:310-833-8580
Practice Address - Street 1:704 W 8TH ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3017
Practice Address - Country:US
Practice Address - Phone:310-832-7545
Practice Address - Fax:310-833-8580
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS170411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical