Traci D Chester, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS # 20462 Issued in CA

Practice address

1540 Stevenson CT
San Marcos, CA 92069-9786

Phone

(760) 855-2528

Fax

(760) 855-2528

NPI assigned

May 22, 2008

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 names 1

• Traci Davis Chester Other name

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1316104656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 STEVENSON CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699786",
            "telephone_number": "760-855-2528",
            "fax_number": "760-855-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 STEVENSON CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699786",
            "telephone_number": "760-855-2528",
            "fax_number": "760-855-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTER",
        "first_name": "TRACI",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS # 20462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "CHESTER",
            "middle_name": "DAVIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Noel Chaw, IMFT
• Faran M Cheema
• Jing Chen, MD, PHD
• Sherry Chen
• Zhenyi Chen
• Alicia Chetty
• Reem Chikh Ibrahim, DMD
• Childrens Medical Group
• Guadalupe N Chim
• Gary R. Chiswick Jr., P.A.

• Clinical Social Worker in San Marcos, CA
• Providers in San Marcos, 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 Mar 29, 2017; 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.