Cristina

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS20435 Issued in CA

Legal business name

CRISTINA

Practice address

1210 S Bascom Ave
Suite 122
San Jose, CA 95128-3543

Phone

(408) 499-9533

Fax

(408) 261-3627

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Cristina Mercedes Collada, LCSW

Title

LCSW

Phone

(408) 499-9533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1104087410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S BASCOM AVE",
            "address_2": "SUITE 122",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283543",
            "telephone_number": "408-499-9533",
            "fax_number": "408-261-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S BASCOM AVE",
            "address_2": "SUITE 122",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283543",
            "telephone_number": "408-499-9533",
            "fax_number": "408-261-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "COLLADA",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "408-499-9533",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestwood Behavioral Health, Inc.
• Robert Leanard Creth, P.T.
• James Dillon Crew, M.D.
• Maria Crisan
• Crisis Pregnancy Centers of Santa Clara County
• Catherine Ann Critchfield, MA, MFTI
• Renee Ownbey Crites, DC
• Critical Radiology, PC
• Emma Critser Isabel Critser
• Justin Crittenden

• All providers in San Jose, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.