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

Carmen Chacon

Individual provider Clinical Social Worker · NPI 1962533612

Carmen Chacon is a Clinical Social Worker in Los Angeles, California. Qualified in 2004, 22 years ago. Practices with Special Service for Groups Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

515 Columbia Ave Ste 300
Los Angeles, CA 90017-1209
Phone: (213) 553-9121
Fax: (213) 201-3395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27583 (CA)

Record details

NPI number1962533612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Special Service For Groups Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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