Kristina Towner, LCSW

Individual provider Active NPI Clinical Social Worker · Ione, CA

NPI 1629319215 · NPPES record last updated Mar 7, 2013

Key facts

NPI
1629319215
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCS19695 (CA)
Practice address
MCSP, 4001 Hwy 104
Attn: Mental Health Services Department
Ione, CA 95640
Phone
(209) 274-4911
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCS19695CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Corrections and Rehabilitation-Headquarters Past
since Mar 22, 2020
Accepting new patients
Corrections and Rehabilitation-Headquarters Past
since Mar 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS19695 CA Yes

Addresses

Primary practice location

MCSP, 4001 Hwy 104
Attn: Mental Health Services Department
Ione, CA 95640

Mailing address

MCSP, 4001 Hwy 104, PO Box 409099
Attn: Mental Health Services Department
Ione, CA 95640
Phone (209) 274-4911

Other providers in Ione, CA

All providers in Ione, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.