Ana Lucia Chagolla
Individual provider Active NPI Clinical Social Worker · Jurupa Valley, CA
NPI 1639627300 · NPPES record last updated Sep 3, 2021
Key facts
- NPI
- 1639627300
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 3924 Riverview Dr
Jurupa Valley, CA 92509-6611 - Phone
- (951) 360-4175
- Fax
- (951) 683-0339
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jurupa Unified School District | Clinical | Current |
Accepting new patients |
Locations
3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Mailing address
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone (951) 360-4175
Other providers in Jurupa Valley, CA
- Kaylee Casto
- Nayeli Castro
- Roxana Castro
- Leslie Cervantes Lopez
- Jennifer Yvonne Cervantes
- Soong Ok Chang
- Kunal Chauhan
- Alejandra Chavez
- Ashley Cisneros
- Samantha Monique Coelho
All providers in Jurupa Valley, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.