Individual provider Active NPI

James J. Christrup, M.S.W.

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1235258922
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 15151 Issued in CA
Practice address
4326 18TH St
San Francisco, CA 94114-2427
Phone
(415) 242-9866
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 15151 CA Primary

Addresses

Primary practice location

4326 18TH St
San Francisco, CA 94114-2427

Mailing address

6448 Longcroft Dr
Oakland, CA 94611-2523
Phone (415) 242-9866

Other practice location 1

6448 Longcroft Dr
Oakland, CA 94611-2523
Phone (415) 242-9866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 15151CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1235258922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6448 LONGCROFT DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112523",
            "telephone_number": "415-242-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142427",
            "telephone_number": "415-242-9866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6448 Longcroft Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946112523",
            "country_code": "US",
            "telephone_number": "415-242-9866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTRUP",
        "first_name": "JAMES",
        "middle_name": "J.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 15151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.