Amy Herrema Chevrolet, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20436 Issued in CA

Practice address

Keystone Therapy and Training Services
4415 Sonoma Hwy Ste a
Santa Rosa, CA 95409-4165

Phone

(707) 308-9538

NPI assigned

Feb 15, 2007

Last updated

Oct 23, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1912040445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10340 WOODSIDE DR",
            "city": "FORESTVILLE",
            "state": "CA",
            "postal_code": "954369806",
            "telephone_number": "707-308-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KEYSTONE THERAPY AND TRAINING SERVICES",
            "address_2": "4415 SONOMA HWY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094165",
            "telephone_number": "707-308-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10340 Woodside Dr",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "CA",
            "postal_code": "954369806",
            "country_code": "US",
            "telephone_number": "707-308-9538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEVROLET",
        "first_name": "AMY",
        "middle_name": "HERREMA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20436",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zlatin Chernin
• Chernoff and Associates Cosmetic Surgeons
• Eric L Cheung, M.D.
• Luna Cheung
• Michael D Chevlen, CRNA
• Fangyu CHI, FNP
• Alice Chiang, MD
• Wesley Min-Da Chiang, D.M.D.
• Charles Andrew Chiarodit, MA
• Brenda Verenise Chicas, FNP

• Clinical Social Worker in Santa Rosa, CA
• Providers in Santa Rosa, 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 Oct 23, 2023; 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.