Laura Milena Channer, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW107693 Issued in CA

Practice address

2411 Sunset Dr
Riverside, CA 92506-3469

Phone

(951) 454-8642

Fax

(951) 454-8642

NPI assigned

Dec 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Milena Castellanos Martin Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Loma Linda University Medical Center

  • Psychiatric Hospital
  • Redlands, CA
  • NPI 1720500457
  Medicare reassignment

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1104584382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 SUNSET DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063469",
            "telephone_number": "951-454-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 SUNSET DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063469",
            "telephone_number": "951-454-8642",
            "fax_number": "951-454-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNER",
        "first_name": "LAURA",
        "middle_name": "MILENA",
        "name_prefix": "Mrs.",
        "credential": "MSW,  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW107693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CASTELLANOS MARTIN",
            "middle_name": "MILENA",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Y Chang, MD
• Ryan Chang
• Victor Chang, DO
• Eric Changchien, MD
• Change the Influence
• Alivia Channon
• Catherine Tracy Chao, NP
• Justin Chao, RN
• Khontheary Yen Chap, M.D
• Chapman Convalescent Hospital

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, 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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.