Colleen Nomsa Chali, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW29187 Issued in CA

Practice address

1669 N E St
San Bernardino, CA 92405-4405

Phone

(909) 886-6737

Fax

(909) 881-3871

NPI assigned

Feb 26, 2007

Last updated

Jun 11, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bridge Vision Licensed Clinical Social Worker

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1083069850
  NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1912033747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W 2ND ST STE 3",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011803",
            "telephone_number": "909-936-3888",
            "fax_number": "909-635-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054405",
            "telephone_number": "909-886-6737",
            "fax_number": "909-881-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALI",
        "first_name": "COLLEEN",
        "middle_name": "NOMSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Christine Chacon
• Gina T Chadwick
• Leslie A Chaidez
• Andres Chairez
• Angelica Maria Chairez
• Erin Chambers, MSN ,FNP-C
• Yanina Chambi, D.D.S.
• Catherine Chamoun
• Eunice Unity Champion
• Chris Hung Wai Chan, PHARM.D.

• Clinical Social Worker in San Bernardino, CA
• Providers in San Bernardino, 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 Jun 11, 2018; 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.