Organization Active NPI

Foster Parent Therapy

  • Clinical Social Worker
  • Fairfield, CA
National Provider Identifier
1881451367
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOSTER PARENT THERAPY
Practice address
490 Chadbourne Rd Ste A122
Fairfield, CA 94534-1864
Phone
(209) 507-2547
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Chelsea A McGowan, LCSWNPI 1437768405
Title
Licensed Clinical Social Worker
Phone
(209) 507-2547

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

490 Chadbourne Rd Ste A122
Fairfield, CA 94534-1864

Mailing address

490 Chadbourne Rd Ste A122
Fairfield, CA 94534-1864
Phone (209) 507-2547

National Provider Directory

National Provider Directory

Locations

490 Chadbourne Rd
Ste A122
Fairfield, CA 94534
Phone (209) 507-2547

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1881451367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD STE A122",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341864",
            "telephone_number": "209-507-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD STE A122",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341864",
            "telephone_number": "209-507-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOSTER PARENT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "209-507-2547",
        "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 Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.