Active NPI
Zlatin Chernin
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1831643592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW113866
- Practice address
- 3841 Brickway Blvd
Santa Rosa, CA 95403-8226 - Phone
- (707) 569-2300
- NPI assigned
- Aug 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ASW77450 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW113866 | CA | Primary |
Addresses
Primary practice location
3841 Brickway Blvd
Santa Rosa, CA 95403-8226
Mailing address
PO Box 1358
Rohnert Park, CA 94927-1358
Phone (707) 570-9467
Other names 1
- Zack Chernin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW77450 | CA | MD | Counselor |
| LCSW113866 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1831643592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1358",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949271358",
"telephone_number": "707-570-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 BRICKWAY BLVD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038226",
"telephone_number": "707-569-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNIN",
"first_name": "ZLATIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-11",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "ASW77450",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW113866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZACK",
"last_name": "CHERNIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.