Individual provider Active NPI

Chester B. Howard, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1386646271
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 12691 Issued in CA
Practice address
175 S Lake Ave
Pasadena, CA 91101-2604
Phone
(626) 577-3922
Fax
(626) 577-5153
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 12691 CA Primary

Addresses

Primary practice location

175 S Lake Ave
Pasadena, CA 91101-2604

Mailing address

175 S Lake Ave
Pasadena, CA 91101-2604
Phone (626) 577-3922

Other names 1

  • Mr. Chester Howard,LCSW Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041018001263 CA Practitioner - Clinical Social Worker 2567422082 Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 12691CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1386646271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012604",
            "telephone_number": "626-577-3922",
            "fax_number": "626-577-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012604",
            "telephone_number": "626-577-3922",
            "fax_number": "626-577-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "CHESTER",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 12691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHESTER",
            "last_name": "HOWARD,LCSW",
            "prefix": "MR.",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.