MEDICARE: SYLVIA MARIA CHAVARRIA

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	104100000X	Social Worker	ASW129888	CA

General Provider Information

NPI Number	:	1720219025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA MARIA CHAVARRIA

Provider Business Mailing Address
First Line	:	113 PAULINE DR
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-1063
Country	:	US
Telephone Number	:	669-766-8724
Fax Number	:

Provider Business Practice Location Address
First Line	:	321 SAN FELIPE RD STE 12
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-3035
Country	:	US
Telephone Number	:	669-347-4271
Fax Number	:

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

Provider Enumeration Date	:	08/04/2009
Last Update Date	:	07/11/2025

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