Maria Cristal Contreras Magana, MD, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103004 Issued in CA

Practice address

55 Shaw Ave Ste 115
Clovis, CA 93612-3819

Phone

(559) 825-1324

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• Footsteps Behavioral Health Corporation

  • Community/Behavioral Health Agency
  • Clovis, CA
  • NPI 1487038758
  NPD (past)
• Footsteps, a Licensed Clinical Social Worker Corporation

  • Mental Health Counselor
  • Clovis, CA
  • NPI 1144720665
  NPD (past)

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1477200020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123819",
            "telephone_number": "559-825-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123819",
            "telephone_number": "559-825-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS MAGANA",
        "first_name": "MARIA",
        "middle_name": "CRISTAL",
        "credential": "MD, ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey Condalor
• Connected Care Family Therapy, Inc
• Michael Shawn Conner, PHARMD
• Robyn Conner, RDA
• Andrew Masao Constant, LMFT
• Connor Cook, PA-C
• Emilee Cook, SLP
• James Robert Cook
• Curtis Cookingham, PT
• Pamela M. Cookingham, PT

• All providers in Clovis, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.