JESSICA BERNISE CHAVEZ
NPI 1710400452
Social Worker - Clinical in Corona, CA

Q: What is Jessica Chavez's NPI number?

The NPI number for Jessica Chavez is 1710400452. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Jessica Chavez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Chavez was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2017

2275 S MAIN ST STE 201, CORONA, CA 92882(951) 279-3222(951) 279-5222 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2021, Feb 15, 2021, Jul 25, 2017 (3 updates tracked since 2017).

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About Jessica Bernise Chavez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BERNISE CHAVEZ (NPI 1710400452) is an individual clinical provider in Corona, California, licensed in California (91659) and active in the NPI registry since July 2017. She maintains a secondary practice location in Ontario.

NPPES Registry Identity

NPI1710400452

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA BERNISE CHAVEZ

Location Address2275 S MAIN ST STE 201Corona, CA 92882-5303

Mailing Address14677 Merrill AveFontana, CA 92335-4219 · (951) 643-2340

Phone(951) 279-3222

Fax(951) 279-5222

Sole ProprietorNo

Enumeration DateJuly 25, 2017

Last NPPES UpdateMarch 17, 20213 updates tracked since enumeration

NPPES CertifiedMarch 17, 2021

✔ NPI 1710400452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 91659

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2275 S MAIN ST STE 201, Corona, CA 92882

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Secondary Practice Location 1

Location 11556 S Sultana AveOntario, CA 91761-4238 · Phone (909) 418-6923

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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