MEDICARE: MICHELLE CHITEL LCSW

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	73381	CA
2	1041C0700X	Clinical Social Worker	LCSW86048	CA

General Provider Information

NPI Number	:	1558808865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE CHITEL LCSW

Provider Business Mailing Address
First Line	:	27200 TOURNEY RD STE 175
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91355-4986
Country	:	US
Telephone Number	:	323-401-3866
Fax Number	:

Provider Business Practice Location Address
First Line	:	27200 TOURNEY RD STE 175
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91355-4986
Country	:	US
Telephone Number	:	323-401-3866
Fax Number	:

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

Provider Enumeration Date	:	01/24/2017
Last Update Date	:	09/10/2024

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