Chawntay Aline McKinzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20096 Issued in CA

Practice address

42538 Buckeye Rd
Oakhurst, CA 93644-9670

Phone

(559) 582-5900

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Chawntay Aline Hernandez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1801988738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42538 BUCKEYE RD",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449670",
            "telephone_number": "559-582-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42538 BUCKEYE RD",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449670",
            "telephone_number": "559-582-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINZIE",
        "first_name": "CHAWNTAY",
        "middle_name": "ALINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAWNTAY",
            "last_name": "HERNANDEZ",
            "middle_name": "ALINE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimya Marefat, DDS
• Robert E. Mason II, M.A.
• Annie Penton Matthews
• John Robert McBride Jr., MD
• Patrick Vincent McClure, D.C.
• Joseph Anthony McLean, PT
• Lori Denise McLean, PT
• Kaitlyn E Medlock
• Faith Mendez
• Merced Medical Supply, Inc. (Yosemite Medical Supply)

• Clinical Social Worker in Oakhurst, CA
• Providers in Oakhurst, 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 Mar 20, 2020; 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.