Christine Ann Chase, LCSW 125588

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

125588 Issued in CA

Practice address

4205 W Figarden Dr
Fresno, CA 93722-6051

Phone

(802) 488-0051

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1174641575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W FIGARDEN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226051",
            "telephone_number": "559-221-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W FIGARDEN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226051",
            "telephone_number": "802-488-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Airport Dr",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "054036013",
            "country_code": "US",
            "telephone_number": "802-658-7711",
            "fax_number": "802-660-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "CHRISTINE ANN",
        "credential": "LCSW 125588",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001150",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Nicole Charles
• David Charlestham, PHARMD
• Brian Gary Charlesworth, PHD
• Douglas Owen Charters, OD
• Robert Chartley
• Kacey Kathleen Chase, LCSW
• McKenna Chase
• Sylvia Chase, P.T.A.
• Elizabeth M Chassey
• Ramona J Chatman

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, 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 Oct 8, 2024; 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.