Cristobal Zamora, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Wauwatosa, WI
NPI 1164523007 · NPPES record last updated May 5, 2008
Key facts
- NPI
- 1164523007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7185-123 (WI)
- Practice address
- 10045 W Lisbon Ave
Suite 200
Wauwatosa, WI 53222-2446 - Phone
- (414) 358-7144
- Fax
- (414) 358-7158
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities | Past | Accepting new patients | |
| Alternatives in Psychological Consultation, S.C. | Past |
Accepting new patients | |
| Catholic Charities Diocese of Gary Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7185-123 | WI | Yes |
Addresses
Primary practice location
10045 W Lisbon Ave
Suite 200
Wauwatosa, WI 53222-2446
Mailing address
10045 W Lisbon Ave
Suite 200
Wauwatosa, WI 53222-2446
Phone (414) 358-7144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40991700 | Medicaid | WI | |
| 7185-123 | Other | WI | L.C.S.W. |
Other providers in Wauwatosa, WI
- Xiaodan Lucy Yu
- Rebecca Danvers Yuan
- Steven M. Zabel
- Lori M Zahorodny
- Iftikhar Zaman
- Alissa Zeglin
- Caroline Zehren
- Paul Brian Zenisek
- Lisa Zentner
- Andrew Charles Zhang
All providers in Wauwatosa, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.