SHARON KEUN HAE CHUNG (LICSW) – Clinical Social Worker, NPI 1821611146

SHARON KEUN HAE CHUNG (LICSW) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 25765 (MN). The NPI Number for SHARON KEUN HAE CHUNG (LICSW) is 1821611146

Main info

Female
Sole Proprietor
Name
SHARON KEUN HAE CHUNG (LICSW)
NPI
1821611146
Phone
(347) 406-3782
Address
2739 RANDOLPH ST NE
Enumeration Date
20 May 2020
Last Update Date
20 May 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for SHARON KEUN HAE CHUNG (LICSW)

  • 2739 RANDOLPH ST NE

    MINNEAPOLIS, MN 554182621

    Phone: (347) 406-3782

    Type: Mailing

  • 5700 BOTTINEAU BLVD STE 100

    CRYSTAL, MN 554293184

    Phone: (763) 504-6590

    Fax: (763) 531-2105

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200921001886IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55418)

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Reviews

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Frequently asked questions

Can I use this page to confirm SHARON KEUN HAE CHUNG (LICSW)'s NPI?
Yes. SHARON KEUN HAE CHUNG (LICSW) is listed with NPI 1821611146 in the public NPI dataset.
Is SHARON KEUN HAE CHUNG (LICSW) still practicing?
SHARON KEUN HAE CHUNG (LICSW) is currently listed as active in the public NPI registry.
What taxonomy line describes SHARON KEUN HAE CHUNG (LICSW)?
For research purposes, treat SHARON KEUN HAE CHUNG (LICSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SHARON KEUN HAE CHUNG (LICSW) on a map?
Expect Minneapolis, Minnesota as a primary anchor for SHARON KEUN HAE CHUNG (LICSW) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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