Active NPI
Cristobal Zamora, L.C.S.W.
- Clinical Social Worker
- Wauwatosa, WI
National Provider Identifier
1164523007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7185-123
- 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
- Last updated
- May 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7185-123 | WI | Primary |
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
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7185-123 | WI | MD | Clinical Social Worker |
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 |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1164523007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10045 W LISBON AVE",
"address_2": "SUITE 200",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532222446",
"telephone_number": "414-358-7144",
"fax_number": "414-358-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10045 W LISBON AVE",
"address_2": "SUITE 200",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532222446",
"telephone_number": "414-358-7144",
"fax_number": "414-358-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "CRISTOBAL",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7185-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.