Individual provider Active NPI

Sibelia L Chaiyahat, LCSW

  • Clinical Social Worker
  • Oceanside, CA
National Provider Identifier
1447346523
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW64685 Issued in CA
Practice address
2103 S. El Camino Real Ste 206
Oceanside, CA 92054-6280
Phone
(442) 500-8548
Fax
(760) 400-8379
NPI assigned
Oct 5, 2006
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW64685 CA Primary
Clinical Social Worker 1041C0700X 3694 OR

Addresses

Primary practice location

2103 S. El Camino Real Ste 206
Oceanside, CA 92054-6280

Mailing address

2103 S. El Camino Real Ste 206
Oceanside, CA 92054-6280
Phone (442) 500-8548

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
I20150424001844 CA Practitioner - Clinical Social Worker 8527098334 Reassigns benefits to 2 organizations
Practice locations: Oceanside, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2103 S El Camino Real
Suite 202
Oceanside, CA 92054-6281
Phone (442) 500-8548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW64685CAMDClinical Social Worker
3694ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Licensed Clinical Social Worker Clinical CurrentSince Dec 25, 2024 Accepting new patients
Pug Therapy CurrentSince Apr 11, 2025 Accepting new patients

Locations

2103 S El Camino Real
Ste 202
Oceanside, CA 92054
Phone (442) 500-8548

2103 S El Camino Real
Ste 206
Oceanside, CA 92054
Phone (442) 245-7097

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1447346523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S. EL CAMINO REAL STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546280",
            "telephone_number": "442-500-8548",
            "fax_number": "760-400-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S. EL CAMINO REAL STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546280",
            "telephone_number": "442-500-8548",
            "fax_number": "760-400-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIYAHAT",
        "first_name": "SIBELIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW64685",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "3694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.