Individual provider Active NPI

Cristina Santiago Cintron, LICSW

  • Clinical Social Worker
  • Feeding Hills, MA
National Provider Identifier
1386210698
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124124 Issued in MA
Practice address
36 Juniper Ridge Dr
Feeding Hills, MA 01030-1550
Phone
(617) 433-8586
Fax
(833) 466-1485
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3836 FL
Social Worker 104100000X 124124 MA
Clinical Social Worker 1041C0700X 124124 MA Primary

Addresses

Primary practice location

36 Juniper Ridge Dr
Feeding Hills, MA 01030-1550

Mailing address

36 Juniper Ridge Dr
Feeding Hills, MA 01030-1550
Phone (617) 433-8586

Other identifiers 1

IdentifierTypeStateIssuer
S92525883OtherMASTATE ID

Other names 1

  • Cristina Cintron Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3836FLMDSocial Worker
124124MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1386210698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 JUNIPER RIDGE DR",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301550",
            "telephone_number": "617-433-8586",
            "fax_number": "833-466-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 JUNIPER RIDGE DR",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010301550",
            "telephone_number": "617-433-8586",
            "fax_number": "833-466-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO CINTRON",
        "first_name": "CRISTINA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "3836",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "124124",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "S92525883",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "CINTRON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Feeding Hills, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.