Individual provider Active NPI

Chinicka Khlot

  • Clinical Social Worker
  • Torrance, CA
National Provider Identifier
1891280590
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
108098 Issued in CA
Practice address
21151 S Western Ave
Torrance, CA 90501-1724
Phone
(310) 464-7470
NPI assigned
Jun 25, 2018
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25342 MD
Clinical Social Worker 1041C0700X 108098 CA Primary

Addresses

Primary practice location

21151 S Western Ave
Torrance, CA 90501-1724

Mailing address

21151 S Western Ave
Torrance, CA 90501-1724
Phone (310) 464-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310001965 MD Practitioner - Clinical Social Worker 7012490956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1644 Marine Ave
Gardena, CA 90247-3108

9627 Philadelphia Rd
Suite 160
Rosedale, MD 21237-4154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108098CAMDClinical Social Worker
25342MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health, LLC CurrentSince Jan 27, 2026 Accepting new patients
Thrive Behavioral Health, LLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

1114 Benfield Blvd
Ste G
Millersville, MD 21108
Phone (410) 780-4320

9627 Philadelphia Rd
Ste 160
Rosedale, MD 21237
Phone (410) 780-5205

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1891280590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "310-464-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21151 S WESTERN AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011724",
            "telephone_number": "310-464-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHLOT",
        "first_name": "CHINICKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "25342",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "108098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.