Organization Active NPI

Chill Vibes Therapy, Licensed Clinical Social Worker Inc

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1669369849
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHILL VIBES THERAPY, LICENSED CLINICAL SOCIAL WORKER INC
Practice address
18215 Corktree Dr
San Bernardino, CA 92407-0569
Phone
(951) 519-0633
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Sabika Abidi, LCSWNPI 1255088746
Title
Owner
Phone
(951) 519-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

18215 Corktree Dr
San Bernardino, CA 92407-0569

Mailing address

18215 Corktree Dr
San Bernardino, CA 92407-0569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1669369849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18215 CORKTREE DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924070569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18215 CORKTREE DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924070569",
            "telephone_number": "951-519-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILL VIBES THERAPY, LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "ABIDI",
        "authorized_official_first_name": "SABIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-519-0633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.