Active NPI
Trisha Castillo
- Clinical Social Worker
- Medford, OR
National Provider Identifier
1528449832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L7769
- Practice address
- 3200 Juanipero Way
Medford, OR 97504-8580 - Phone
- (541) 816-4131
- Fax
- (458) 226-2163
- NPI assigned
- Jun 11, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L7769 | OR | Primary |
Addresses
Primary practice location
3200 Juanipero Way
Medford, OR 97504-8580
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L7769 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1528449832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3587 HEATHROW WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044004",
"telephone_number": "541-858-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 JUANIPERO WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048580",
"telephone_number": "541-816-4131",
"fax_number": "458-226-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "TRISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "L7769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.