Individual provider Active NPI

Christina Offill, LCSW

  • Clinical Social Worker
  • Ukiah, CA
National Provider Identifier
1437433497
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80474 Issued in CA
Practice address
681 Leslie St
Ukiah, CA 95482-5500
Phone
(707) 972-1200
NPI assigned
Oct 7, 2011
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 80474 CA Primary

Addresses

Primary practice location

681 Leslie St
Ukiah, CA 95482-5500

Mailing address

681 Leslie St
Ukiah, CA 95482-5500
Phone (707) 972-1200

Other practice location 1

169 Mason St
Ukiah, CA 95482-4482
Phone (707) 972-1200

Other names 1

  • Christina Daughtery Former name

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
I20180306002073 CA Practitioner - Clinical Social Worker 1456612522 Reassigns benefits to 1 organization
Practice locations: Ukiah, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80474CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Community Services, Inc CurrentSince Feb 1, 2018 Accepting new patients
Redwood Community Services, Inc Counselor Current Accepting new patients
Redwood Community Services, Inc. Clinical CurrentSince Feb 1, 2018 Accepting new patients
Redwood Community Services, Inc. Clinical Past Accepting new patients

Locations

140 Gibson St
Ukiah, CA 95482
Phone (707) 467-9065

780 S Dora St
Ukiah, CA 95482
Phone (707) 462-9784

99 S Humboldt St
Willits, CA 95490
Phone (707) 459-9900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1437433497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 LESLIE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825500",
            "telephone_number": "707-972-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 LESLIE ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825500",
            "telephone_number": "707-972-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Mason St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824482",
            "country_code": "US",
            "telephone_number": "707-972-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFFILL",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "DAUGHTERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.