Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bex Chinisie

Individual provider Mental Health Counselor · NPI 1700214806

Bex Chinisie is a Clinical Social Worker in San Diego, California. Qualified in 2016, 10 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

3132 Jefferson St
San Diego, CA 92110-4421
Phone: (619) 683-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8019 S. Compton Ave., Los Angeles, CA 90001 — (323) 586-7333
  • 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 — (213) 620-5712
  • 4601 S Broadway, Los Angeles, CA 90037-2729 — (213) 615-9497

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 92972 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence ACSW 74507 (CA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1700214806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2013
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing address3132 Jefferson St, San Diego, CA 92110-4421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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