Individual provider Active NPI

Laura Ann Christofferson Celnar, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1043416530
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS26576 Issued in CA
Practice address
7465 Mission Gorge Rd Ste 157
San Diego, CA 92120-1301
Phone
(619) 218-5002
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS26576 CA Primary

Addresses

Primary practice location

7465 Mission Gorge Rd Ste 157
San Diego, CA 92120-1301

Mailing address

5815 Eldergardens St
San Diego, CA 92120-3727
Phone (619) 358-4936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS26576CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1043416530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 ELDERGARDENS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203727",
            "telephone_number": "619-358-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 MISSION GORGE RD STE 157",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201301",
            "telephone_number": "619-218-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELNAR",
        "first_name": "LAURA",
        "middle_name": "ANN CHRISTOFFERSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2024-01-04",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.