Christine Chavez, is a
Social Worker - Clinical based in Santa Monica, California. Christine Chavez is licensed to practice in California (license number 117694) and her current practice location is
1619 Santa Monica Blvd, Santa Monica, California. She can be reached at her office (for appointments etc.) via phone at
(310) 392-5855.
NPI number for Christine Chavez is 1073096350 and her current mailing address is 1619 Santa Monica Blvd, Santa Monica, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073096350.
Healthcare Provider's Profile
| Full Name | Christine Chavez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1619 Santa Monica Blvd, Santa Monica, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073096350
- Provider Enumeration Date: 09/12/2018
- Last Update Date: 08/31/2023
Medical Identifiers
Medical identifiers for Christine Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073096350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 79162 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 91622 (California) | Secondary |
| 104100000X | Social Worker | 91622 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 117694 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christine Chavez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Christine Chavez,
1619 Santa Monica Blvd,
Santa Monica, CA 90404-1807
Ph: (310) 392-5855 | Christine Chavez,
1619 Santa Monica Blvd,
Santa Monica, CA 90404-1807
Ph: (310) 392-5855 |
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