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NPI Code Detail

MEDICARE: MARLENA CHENEY ASW

MEDICARE: MARLENA CHENEY 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 WorkerASW115968CA
21041C0700XClinical Social WorkerLCSW139248CA

General Provider Information

NPI Number : 1790464832
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENA CHENEY ASW
Provider Business Mailing Address
First Line : 840 N AVENUE 66
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1508
Country : US
Telephone Number : 626-395-7100
Fax Number :
Provider Business Practice Location Address
First Line : 840 N AVENUE 66
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-1508
Country : US
Telephone Number : 626-395-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2023
Last Update Date : 06/11/2026

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