Christina Rosa Vasquez-Leiva, LCSW82547

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

82547 Issued in CA

Practice address

802 Brewster Ave
Redwood City, CA 94063-1510

Phone

(650) 241-5163

NPI assigned

Jun 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christina Rosa Vasquez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1194088609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30030 MISSION BLVD STE 113",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447252",
            "telephone_number": "510-207-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 BREWSTER AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631510",
            "telephone_number": "650-241-5163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Alameda De Las Pulgas",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944031269",
            "country_code": "US",
            "telephone_number": "650-241-5163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 E San Fernando St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951123503",
            "country_code": "US",
            "telephone_number": "408-899-7141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Middlefield Rd",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940633404",
            "country_code": "US",
            "telephone_number": "650-241-5163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ-LEIVA",
        "first_name": "CHRISTINA",
        "middle_name": "ROSA",
        "credential": "LCSW82547",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "LCSW82547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "VASQUEZ",
            "middle_name": "ROSA",
            "credential": "LCSW82547",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ariel Mary Vandoren, M.A.
• Gabrielle Vanerschelden
• Drayla Vanrachack
• Gary Oscar Vargas, M.D.
• Joshua Vasconcellos
• Joe C Vasquez
• Zoia A Vassilevskaia
• Raphael Vassor, P.A.
• Stephen Vaughan, MD
• Sara Josephine Vaughn, M.D.

• Clinical Social Worker in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.