Individual provider · Type 1 NPI

Robert Alexis Chacon

Clinical Social Worker · Fullerton, CA

NPI number 1013521657 Active

Practice location

401 Imperial Hwy
Fullerton, CA 92835-1145

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X126454 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013521657

Robert Alexis Chacon's National Provider Identifier is 1013521657, issued on Sep 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fullerton, CA. The record was last updated on Jul 21, 2025.