Provider Demographics
NPI:1558761437
Name:HERNANDEZ-SWARTZEL, CHASITY (LCSW)
Entity type:Individual
Prefix:
First Name:CHASITY
Middle Name:
Last Name:HERNANDEZ-SWARTZEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHASITY
Other - Middle Name:
Other - Last Name:SWARTZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2460 CLAY BANK RD # 9
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-1655
Mailing Address - Country:US
Mailing Address - Phone:707-399-4842
Mailing Address - Fax:
Practice Address - Street 1:2460 CLAY BANK RD # 9
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-1655
Practice Address - Country:US
Practice Address - Phone:707-399-4842
Practice Address - Fax:831-758-2825
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA932381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical