Provider Demographics
NPI:1144657537
Name:BARNETT, CHALON ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHALON
Middle Name:ANN
Last Name:BARNETT
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 1:2810 E DEL MAR BLVD STE 12
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-6709
Mailing Address - Country:US
Mailing Address - Phone:626-675-4674
Mailing Address - Fax:626-768-7661
Practice Address - Street 1:2810 E DEL MAR BLVD STE 12
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-6709
Practice Address - Country:US
Practice Address - Phone:626-675-4674
Practice Address - Fax:626-768-7661
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW68859101Y00000X, 101YM0800X
390200000X
CA874311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program