MEDICARE: MRS. ROBIN JOELLE CHANCER L.C.S.W.(CA), LISW-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C007256	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790067098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ROBIN JOELLE CHANCER L.C.S.W.(CA), LISW-S

Provider Business Mailing Address
First Line	:	3659 FANWOOD AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808
Country	:	US
Telephone Number	:	714-906-3178
Fax Number	:	336-716-0822

Provider Business Practice Location Address
First Line	:	3659 FANWOOD AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808
Country	:	US
Telephone Number	:	714-906-3178
Fax Number	:	336-716-0822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	01/21/2021

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