Provider Demographics
NPI:1902000367
Name:CHOUNET, VIRGINIA TAPANES (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:TAPANES
Last Name:CHOUNET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:TAPANES
Other - Last Name:WELLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 SUSAN DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4543
Mailing Address - Country:US
Mailing Address - Phone:805-485-6114
Mailing Address - Fax:805-278-4391
Practice Address - Street 1:4001 MISSION OAKS BLVD STE I
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5121
Practice Address - Country:US
Practice Address - Phone:805-485-6114
Practice Address - Fax:805-278-4391
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS99681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical