Provider Demographics
NPI:1700211562
Name:CHATKARA, PRATIBHA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:PRATIBHA
Middle Name:
Last Name:CHATKARA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 SIERRA AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-9411
Mailing Address - Country:US
Mailing Address - Phone:530-713-7206
Mailing Address - Fax:
Practice Address - Street 1:1670 SIERRA AVE STE 301
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-9411
Practice Address - Country:US
Practice Address - Phone:530-713-7206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CA846291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker