Chantelle Therese Malabanan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

132565 Issued in CA

Practice address

23181 Verdugo Dr Ste 105B
Laguna Hills, CA 92653-1313

Phone

(949) 520-2720

Fax

(949) 215-4413

NPI assigned

Jul 15, 2019

Reactivated

Nov 5, 2020

Last updated

Dec 2, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Free Your Mind Marriage & Family Therapy, Professional Inc

  • Marriage & Family Therapist
  • Laguna Hills, CA
  • NPI 1922578608

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1851943336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23152 VERDUGO DR STE 105",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531373",
            "telephone_number": "949-520-2720",
            "fax_number": "949-215-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 VERDUGO DR STE 105B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531313",
            "telephone_number": "949-520-2720",
            "fax_number": "949-215-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALABANAN",
        "first_name": "CHANTELLE",
        "middle_name": "THERESE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "deactivation_date": "2020-09-21",
        "reactivation_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "132565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Dental Corporation (Alicia Parkway Dental)
• Nga Mai, DMD
• Victor Vu Mai, DMD
• Lisa L. Majer, D.O
• Tammy Major
• Andrew Steven Malatskey, MD
• Aura Camille Maldonado
• Jacqueline Malekirad, M.D.
• Harpreet Malla, M.A.
• Alina Malloy

• Social Worker in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.