Kristina Elise Ireson, LCSW 80918

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

80918 Issued in CA

Practice address

480 James Ave
Redwood City, CA 94062-1041

Phone

(650) 369-1411

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kristina E Damota Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sequoia Union High School District

  • Local Education Agency (LEA)
  • Redwood City, CA
  • NPI 1649511924
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1437585296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940440661",
            "telephone_number": "650-832-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 JAMES AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621041",
            "telephone_number": "650-369-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRESON",
        "first_name": "KRISTINA",
        "middle_name": "ELISE",
        "credential": "LCSW 80918",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "80918",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "PPS",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "80918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "DAMOTA",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Inner Light Wellness LLC
• Insight Breakthrough, LP
• Insight Health Corp
• Intravu Inc.
• Joey Garbo Ip, PHARM D
• Gretchen Denike Irion, PHARM.D.
• Shirley Irudayaraj, D.D.S
• Cristina Ashley Isaac
• Jacklyn Tran-Nguyen MD Inc
• Cristian Elian Jackson

• Clinical Social Worker in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.