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NPI Code Detail

MEDICARE: MERRIELLE ITALIA CHEVALBLANC ASW

MEDICARE: MERRIELLE ITALIA CHEVALBLANC ASW
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
1104100000XSocial Worker117170CA
21041C0700XClinical Social Worker117170CA

General Provider Information

NPI Number : 1225805021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERRIELLE ITALIA CHEVALBLANC ASW
Provider Business Mailing Address
First Line : 302 VILLAGE SQ
Second Line :
City : ORINDA
State : CA
Zip : 94563-2506
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 302 VILLAGE SQ
Second Line :
City : ORINDA
State : CA
Zip : 94563-2506
Country : US
Telephone Number : 925-386-6037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/03/2025

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Directions to “ MERRIELLE ITALIA CHEVALBLANC ASW” Practice Location

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