Provider Demographics
NPI:1598071110
Name:CHAHAL, JASMINDER KAUR (MSW)
Entity Type:Individual
Prefix:
First Name:JASMINDER
Middle Name:KAUR
Last Name:CHAHAL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:JASMINDER
Other - Middle Name:KAUR
Other - Last Name:DHAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19231 BECKFORD PL
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2708
Mailing Address - Country:US
Mailing Address - Phone:213-435-3362
Mailing Address - Fax:
Practice Address - Street 1:20101 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1351
Practice Address - Country:US
Practice Address - Phone:213-435-3362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA690951041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker