Individual provider Active NPI

Renee E Cristiano, LSCSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1295748044
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW480 Issued in KS
Practice address
815 N Waco Ave
Ste 32
Wichita, KS 67203-3927
Phone
(316) 945-9008
Fax
(316) 462-0514
NPI assigned
Aug 14, 2006
Last updated
May 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2012

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 LSCSW480 KS Primary

Addresses

Primary practice location

815 N Waco Ave
Ste 32
Wichita, KS 67203-3927

Mailing address

815 N Waco Ave
Ste 32
Wichita, KS 67203-3927
Phone (316) 945-9008

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

LicenseStateTypeSpecialty
LSCSW480KSMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1295748044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N WACO AVE",
            "address_2": "STE 32",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033927",
            "telephone_number": "316-945-9008",
            "fax_number": "316-462-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N WACO AVE",
            "address_2": "STE 32",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033927",
            "telephone_number": "316-945-9008",
            "fax_number": "316-462-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTIANO",
        "first_name": "RENEE",
        "middle_name": "E",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.