Individual provider Active NPI

Christin Michelle Montoya

  • Clinical Social Worker
  • Merced, CA
National Provider Identifier
1003077850
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
78445 Issued in CA
Practice address
2750 G St Ste E1
Merced, CA 95340-2953
Phone
(209) 259-3851
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 78445 CA Primary

Addresses

Primary practice location

2750 G St Ste E1
Merced, CA 95340-2953

Mailing address

2750 G St Ste E1
Merced, CA 95340-2953
Phone (209) 259-3851

Other practice location 1

1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 300-8809

Other practice location 2

3288 McKee Rd
Merced, CA 95340-1770
Phone (209) 259-3851

Other names 1

  • Christin Michelle Fleming Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
78445CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Philos Therapeutic a Licensed Clinical Social Worker Corporation Counselor CurrentSince May 1, 2022 Accepting new patients

Locations

2750 G St
Ste E1
Merced, CA 95340
Phone (209) 259-3851

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1003077850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 G ST STE E1",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402953",
            "telephone_number": "209-259-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 G ST STE E1",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402953",
            "telephone_number": "209-259-3851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953074562",
            "country_code": "US",
            "telephone_number": "209-300-8809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3288 McKee Rd",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953401770",
            "country_code": "US",
            "telephone_number": "209-259-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "CHRISTIN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIN",
            "last_name": "FLEMING",
            "middle_name": "MICHELLE",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.