Christine Satomi Kondo-Lister, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 14827 Issued in CA

Practice address

2808 Mallard LN Ste B
Placerville, CA 95667-8770

Phone

(530) 621-7583

Fax

(530) 295-2713

NPI assigned

Apr 6, 2007

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720100092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 MALLARD LN STE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678770",
            "telephone_number": "530-621-7583",
            "fax_number": "530-295-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 MALLARD LN STE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678770",
            "telephone_number": "530-621-7583",
            "fax_number": "530-295-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDO-LISTER",
        "first_name": "CHRISTINE",
        "middle_name": "SATOMI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 14827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua J Knoblock
• Keenan Michael Knorr
• Patrick Michael Knost, M.D.
• William Koble, M.D.
• Kelly Marie Koelsch, RADT1
• Andrei Ivanovich Kononovich, RN
• Ron L Kopitzke, P.T., DPT., OCS
• Jordyn Kotowski
• Toya Kuchena, NP
• Stanley Kwong, M.D.

• Clinical Social Worker in Placerville, CA
• Providers in Placerville, 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 Jul 8, 2007; 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.