Brenda Chavelas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW101040 Issued in CA

Practice address

13200 Crossroads Pkwy N Ste 335
City of Industry, CA 91746-3485

Phone

(562) 821-1491

NPI assigned

Oct 3, 2013

Last updated

Feb 6, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heredia Family Therapy, Inc

  dba Heredia Therapy Group

  • Marriage & Family Therapist
  • City of Industry, CA
  • NPI 1326553926

  Clinical

  NPD
• Heredia Family Therapy, Inc

  dba Heredia Therapy Group

  • Occupational Therapist
  • City of Industry, CA
  • NPI 1386380103
  NPD

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1689001729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 CROSSROADS PKWY N STE 335",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917463485",
            "telephone_number": "562-821-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 W Temple St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264915",
            "country_code": "US",
            "telephone_number": "213-637-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVELAS",
        "first_name": "BRENDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Yi Shan Chang, LCSW
• Peter Chang, PHARM.D.
• Yu Ting Chang
• Yuan-Fei Faye Chang, M.D.
• Shyan Pay Chao
• Patrick Noel Chavez
• Rafael Ubaldo Chavez, PA
• Chen Chiropractic Clinic Inc (Summit Health Center)
• Ellaine Saavedra Chen, D.D.S.
• Eric Yenjen Chen, DPM

• Clinical Social Worker in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.