Individual provider Active NPI

Krista Michelle Pratt

  • Clinical Social Worker
  • Oxnard, CA
National Provider Identifier
1306246913
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW125095 Issued in CA
Practice address
1911 Williams Dr Ste 160
Oxnard, CA 93036-2612
Phone
(805) 981-8823
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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 LCSW125095 CA Primary

Addresses

Primary practice location

1911 Williams Dr Ste 160
Oxnard, CA 93036-2612

Mailing address

1911 Williams Dr Ste 160
Oxnard, CA 93036-2612
Phone (805) 981-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226002825 CA Practitioner - Clinical Social Worker 3476080722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW125095CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Oct 23, 2024 Accepting new patients
Aspira Foster & Family Services - Ventura PastSince Jul 1, 2022 Accepting new patients

Locations

1911 Williams Dr
Ste 160
Oxnard, CA 93036
Phone (805) 981-8829

1911 Williams Dr
Ste 165
Oxnard, CA 93036
Phone (805) 981-4233

1911 Williams Dr
Oxnard, CA 93036
Phone (805) 981-4200

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1306246913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 160",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "805-981-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 WILLIAMS DR STE 160",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362612",
            "telephone_number": "805-981-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "KRISTA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW125095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.