Individual provider Active NPI

Kristina Towner, LCSW

  • Clinical Social Worker
  • Ione, CA
National Provider Identifier
1629319215
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19695 Issued in CA
Practice address
MCSP, 4001 Hwy 104
Attn: Mental Health Services Department
Ione, CA 95640
Phone
(209) 274-4911
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

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

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

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

LicenseStateTypeSpecialty
LCS19695CAMDClinical Social Worker

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1629319215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCSP, 4001 HWY 104, PO BOX 409099",
            "address_2": "ATTN: MENTAL HEALTH SERVICES DEPARTMENT",
            "city": "IONE",
            "state": "CA",
            "postal_code": "95640",
            "telephone_number": "209-274-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCSP, 4001 HWY 104",
            "address_2": "ATTN: MENTAL HEALTH SERVICES DEPARTMENT",
            "city": "IONE",
            "state": "CA",
            "postal_code": "95640",
            "telephone_number": "209-274-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNER",
        "first_name": "KRISTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ione, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.