Healthcare Provider Details

I. General information

NPI: 1609585892
Provider Name (Legal Business Name): TRAYFENA ZAMBRE ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2022
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20151 NORDHOFF ST
CHATSWORTH CA
91311-6215
US

IV. Provider business mailing address

20151 NORDHOFF ST
CHATSWORTH CA
91311-6215
US

V. Phone/Fax

Practice location:
  • Phone: 818-414-8277
  • Fax:
Mailing address:
  • Phone: 818-407-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW101554
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW134669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: