Isabel Diann Chethik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 6024 Issued in CA

Practice address

1149 Chestnut St
#11
Menlo Park, CA 94025-4347

Phone

(650) 328-0828

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255454229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60575",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943060575",
            "telephone_number": "650-328-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 CHESTNUT ST",
            "address_2": "#11",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254347",
            "telephone_number": "650-328-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETHIK",
        "first_name": "ISABEL",
        "middle_name": "DIANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 6024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS INSURANCE",
            "identifier": "157954",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH USER NAME",
            "identifier": "IC3166746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anny Chen
• Grace A Chen, PH.D.
• Hui Jie Jenny Chen, M.D.
• Victoria Y Chen, MD
• Elena Cherkasova, PSY.D.
• Jennifer Shari Cheung, DPT
• Michael Cheung, PHARMD
• Nicole Cheung, PSY.D
• Laura Andeen Chiang, MD
• Wan Ting Chik, PT

• Clinical Social Worker in Menlo Park, CA
• Providers in Menlo Park, 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 Jul 8, 2007; 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.