MEDICARE: MS. VIRGINIA TAPANES CHOUNET 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	LCS9968	CA

General Provider Information

NPI Number	:	1902000367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIRGINIA TAPANES CHOUNET LCSW

Provider Business Mailing Address
First Line	:	1525 SUSAN DR
Second Line	:
City	:	NEWBURY PARK
State	:	CA
Zip	:	91320-4543
Country	:	US
Telephone Number	:	805-485-6114
Fax Number	:	805-278-4391

Provider Business Practice Location Address
First Line	:	4001 MISSION OAKS BLVD STE I
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-5121
Country	:	US
Telephone Number	:	805-485-6114
Fax Number	:	805-278-4391

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

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	05/23/2023

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