Active NPI
Julie Criste
- Social Worker
- State College, PA
National Provider Identifier
1184163404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW133336
- Practice address
- 103 E Beaver Ave
State College, PA 16801-4969 - Phone
- (717) 521-9522
- NPI assigned
- Feb 20, 2017
- Last updated
- Feb 20, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133336 | PA | Primary |
Addresses
Primary practice location
103 E Beaver Ave
State College, PA 16801-4969
Mailing address
103 E Beaver Ave
State College, PA 16801-4969
Phone (717) 521-9522
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 |
|---|---|---|---|
| SW133336 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1184163404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E BEAVER AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168014969",
"telephone_number": "717-521-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E BEAVER AVE",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168014969",
"telephone_number": "717-521-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTE",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.