Individual provider · Type 1 NPI

Jessica Bernise Chavez

Clinical Social Worker · Corona, CA

NPI number 1710400452 Active

Practice location

2275 S Main St Ste 201
Corona, CA 92882-5303

Fax (951) 279-5222

Mailing address

14677 Merrill Ave
Fontana, CA 92335-4219

Other practice locations

  • 1556 S Sultana Ave, Ontario, CA 91761-4238 · (909) 418-6923

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X91659 (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 1710400452

Jessica Bernise Chavez's National Provider Identifier is 1710400452, issued on Jul 25, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corona, CA. The record was last updated on Mar 17, 2021.