Individual provider Active NPI

Anne Therese Chicoine, M.S.W L.C.S.W.

  • Clinical Social Worker
  • Cathedral City, CA
National Provider Identifier
1447366752
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 21634 Issued in CA
Practice address
67555 E Palm Canyon Dr Ste C113
Cathedral City, CA 92234-5412
Phone
(760) 773-4300
Fax
(760) 773-4285
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 21634 CA Primary

Addresses

Primary practice location

67555 E Palm Canyon Dr Ste C113
Cathedral City, CA 92234-5412

Mailing address

67555 E Palm Canyon Dr Ste C113
Cathedral City, CA 92234-5412
Phone (760) 773-4300

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 773-4300

Other practice location 2

400 S Farrell Dr Ste B210
Palm Springs, CA 92262-7933
Phone (760) 620-5554

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
I20201008001670 CA Practitioner - Clinical Social Worker 7810317013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Moon Senior Counseling of California LLCGroup PAC ID 9335360981, 79 clinicians
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39905 Via Scena
Unit 218
Palm Desert, CA 92260-1827
Phone (855) 241-7160

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

67555 E Palm Canyon Dr
Cathedral City, CA 92234-5412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 21634CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center Current Accepting new patients
Blue Moon Senior Counseling of California LLC Clinical CurrentSince Sep 15, 2020 Accepting new patients
Eisenhower Medical Center CurrentSince Jun 2, 2025 Accepting new patients
Eisenhower Medical Center CurrentSince Jun 2, 2025 Accepting new patients
Hope & Healing Community Support Clinical PastSince Dec 15, 2024 Accepting new patients
Hernandez Marriage & Family Counseling Corp. Clinical PastSince Feb 18, 2024 Accepting new patients

Locations

67555 E Palm Canyon Dr
Ste C113
Cathedral City, CA 92234
Phone (760) 328-5679

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1447366752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67555 E PALM CANYON DR STE C113",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345412",
            "telephone_number": "760-773-4300",
            "fax_number": "760-773-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67555 E PALM CANYON DR STE C113",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345412",
            "telephone_number": "760-773-4300",
            "fax_number": "760-773-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-773-4300",
            "fax_number": "760-773-4285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Farrell Dr Ste B210",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627933",
            "country_code": "US",
            "telephone_number": "760-620-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICOINE",
        "first_name": "ANNE",
        "middle_name": "THERESE",
        "credential": "M.S.W    L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

Verify at the official NPI Registry.