Active NPI
Chantel Tanuvasa-Strotman, ASW
- Social Worker
- San Gabriel, CA
National Provider Identifier
1043711823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 77966
- Practice address
- 208 W Wells St
San Gabriel, CA 91776-3228 - Phone
- (808) 778-4874
- NPI assigned
- Feb 26, 2018
- Reactivated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 77966 | CA | Primary |
Addresses
Primary practice location
208 W Wells St
San Gabriel, CA 91776-3228
Mailing address
PO Box 1209
San Gabriel, CA 91778-1209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77966 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1043711823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1209",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917781209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W WELLS ST",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917763228",
"telephone_number": "808-778-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANUVASA-STROTMAN",
"first_name": "CHANTEL",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"deactivation_date": "2019-02-19",
"reactivation_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "77966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.