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Contact Information

SUSIE P CHA, LCSW
3750 ROHNERVILLE ROAD
FORTUNA, CA95540
 Phone: 707-725-4477
 Fax: 707-725-2978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SUSIE P CHA · (Female)

NPI Number 1346907961
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 11/18/2021
Last updated 01/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 88689
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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