Andrea Maree Chilson, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW112464 Issued in CA

Practice address

41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630

Phone

(951) 587-4165

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Koinonia Foster Homes, Inc.

  • Community/Behavioral Health Agency
  • Temecula, CA
  • NPI 1467995738
  NPD

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1619655891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34100 DIANTHUS LN",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925322987",
            "telephone_number": "951-809-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "951-587-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILSON",
        "first_name": "ANDREA",
        "middle_name": "MAREE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW112464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Mae Cheung
• Purva Sunil Chhibar, M.D.
• Juliana Vina Chhouk
• May Chhun, PA-C
• Phillip J. Chien, D.D.S.
• Natasha Ann Ching, RN
• Saavan Chintalacheruvu
• Lois Jin-a Cho, N.P.
• Sarah Choe, MD
• Elizabeth Choi, CF-SLP

• Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.