Organization Active NPI

Christine a. Fila LCSW, LLC

  • Clinical Social Worker
  • Silver City, NM
National Provider Identifier
1376991034
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-09105 Issued in NM
Legal business name
CHRISTINE A. FILA LCSW, LLC
Practice address
405 N Cooper St
Silver City, NM 88061-4930
Phone
(617) 750-3346
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Christine A Fila
Title
Behavioral Health Clinician
Phone
(617) 750-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X C-09105 NM Primary

Addresses

Primary practice location

405 N Cooper St
Silver City, NM 88061-4930

Mailing address

PO Box 833
Silver City, NM 88062-0833
Phone (617) 750-3346

Other identifiers 1

IdentifierTypeStateIssuer
18677037MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1376991034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 833",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880620833",
            "telephone_number": "617-750-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N COOPER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880614930",
            "telephone_number": "617-750-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE A. FILA LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "FILA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "617-750-3346"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-09105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.