Active NPI
Elizabeth Castillo
- School Social Worker
- San Jose, CA
National Provider Identifier
1407213788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 1855 Lucretia Ave
San Jose, CA 95122-3730 - Phone
- (408) 347-4789
- NPI assigned
- Jan 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
1855 Lucretia Ave
San Jose, CA 95122-3730
Mailing address
2731 Junction Ave Unit 640526
San Jose, CA 95164-4022
Phone (408) 510-9977
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1407213788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 JUNCTION AVE UNIT 640526",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951644022",
"telephone_number": "408-510-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 LUCRETIA AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951223730",
"telephone_number": "408-347-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-18",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.