Mona Lisa Chavez Esqueda, LCSW, PHD (ABD)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7959901-3501 Issued in UT

Practice address

3435 S Brook View LN
Salt Lake City, UT 84106-1593

Phone

(801) 633-6579

NPI assigned

Feb 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1649804980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S BROOK VIEW LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061593",
            "telephone_number": "801-633-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S BROOK VIEW LN",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841061593",
            "telephone_number": "801-633-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ ESQUEDA",
        "first_name": "MONA LISA",
        "credential": "LCSW, PHD (ABD)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "UT",
            "license": "7959901-3502",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7959901-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mithu Chaudhury, DO
• Muhammad Ahmed Nabeel Chauhan, M.D.
• David Carlson Chaulk, MD
• David Chaus, PT, DPT
• Kristina Marie Chavarin
• Lucero Chavez Rivera
• Jesika Lynn Chavez-England, RN
• Abel Marquez Chavez
• Berenice Chavez
• Bobbie Lew Chavez

• Clinical Social Worker in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.