Provider Demographics
NPI:1659242758
Name:CHASE, ANGELINE ANDREA (LCSW)
Entity type:Individual
Prefix:
First Name:ANGELINE
Middle Name:ANDREA
Last Name:CHASE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:32449 PENSADOR ST
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-8220
Mailing Address - Country:US
Mailing Address - Phone:408-239-7332
Mailing Address - Fax:
Practice Address - Street 1:32449 PENSADOR ST
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-8220
Practice Address - Country:US
Practice Address - Phone:408-239-7332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1295751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical