Jose Chavez, is a
Social Worker - Clinical based in North Hollywood, California. Jose Chavez is licensed to practice in California (license number 113391) and his current practice location is
6736 Laurel Canyon Blvd Ste 200, North Hollywood, California. He can be reached at his office (for appointments etc.) via phone at
(818) 755-8786.
NPI number for Jose Chavez is 1205485125 and his current mailing address is 6736 Laurel Canyon Blvd Ste 200, North Hollywood, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205485125.
Healthcare Provider's Profile
| Full Name | Jose Chavez |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 6736 Laurel Canyon Blvd Ste 200, North Hollywood, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205485125
- Provider Enumeration Date: 09/04/2019
- Last Update Date: 01/22/2025
Medical Identifiers
Medical identifiers for Jose Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205485125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 113391 (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. Jose 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 |
|---|
Jose Chavez,
6736 Laurel Canyon Blvd Ste 200,
North Hollywood, CA 91606-1576
Ph: (818) 755-8786 | Jose Chavez,
6736 Laurel Canyon Blvd Ste 200,
North Hollywood, CA 91606-1576
Ph: (818) 755-8786 |
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