Active NPI
Christine Hosanna Rivas, MSW, LCSW 120766
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1174930804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9623 Littleton Grist
San Antonio, TX 78254-2382 - Phone
- (805) 236-0757
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120766 | CA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9623 Littleton Grist
San Antonio, TX 78254-2382
Mailing address
710 Waverly CT
Oxnard, CA 93030
Phone (805) 388-4420
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120766 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707004800000",
"number": "1174930804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 WAVERLY CT",
"city": "OXNARD",
"state": "CA",
"postal_code": "93030",
"telephone_number": "805-388-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9623 LITTLETON GRIST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542382",
"telephone_number": "805-236-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "CHRISTINE",
"middle_name": "HOSANNA",
"credential": "MSW, LCSW 120766",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2024-02-04",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "120766",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.