Selene I Chagoya, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99182 Issued in CA

Practice address

233 E Willow St
Long Beach, CA 90806-2623

Phone

(562) 506-7433

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1013647973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062623",
            "telephone_number": "562-506-7433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E 57th St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908054652",
            "country_code": "US",
            "telephone_number": "562-506-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAGOYA",
        "first_name": "SELENE",
        "middle_name": "I",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Chacon
• Caroline Chae, AMFT
• Jon Chaffee, M.D.
• Tracy Marie Chaffee, M.D.
• Angelica Chagollan
• Richard Y Chai, MD
• Angela Sihua Chaili, PHARMD
• Elizabeth Ting Yu Chak, DMD
• Garrick Chak, M.D.
• Corey Chakarun

• Clinical Social Worker in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.