Active NPI
Christina Offill, LCSW
- Clinical Social Worker
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 80474
- Practice address
- 681 Leslie St
Ukiah, CA 95482-5500 - Phone
- (707) 972-1200
- NPI assigned
- Oct 7, 2011
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80474 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc | Current | Accepting new patients | |
| Redwood Community Services, Inc | Counselor | Current | Accepting new patients |
| Redwood Community Services, Inc. | Clinical | Current | 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.
-
- Community/Behavioral Health Agency
- Ukiah, CA
- NPI 1831237015
Counselor
-
- Foster Care Agency
- Ukiah, CA
- NPI 1558702795
-
- Community/Behavioral Health Agency
- Lakeport, CA
- NPI 1891859047
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.