Healthcare Provider Details

I. General information

NPI: 1326180167
Provider Name (Legal Business Name): KAREN F CHAMBRE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 01/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11712 MOORPARK ST STE 205B
STUDIO CITY CA
91604-2158
US

IV. Provider business mailing address

4920 VAN NUYS BLVD APT 137
SHERMAN OAKS CA
91403-1722
US

V. Phone/Fax

Practice location:
  • Phone: 818-425-9925
  • Fax: 181-868-8061
Mailing address:
  • Phone: 818-425-9925
  • Fax: 818-688-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS12210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: