Crystal Pauline Castillo
Individual provider Active NPI Clinical Social Worker · Grand Terrace, CA
NPI 1841503117 · NPPES record last updated Sep 10, 2020
Key facts
- NPI
- 1841503117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 66553 (CA)
- Practice address
- 12320 Whistler St
Grand Terrace, CA 92313-5550 - Phone
- (909) 800-4796
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | 66553 | CA | Yes |
Addresses
Primary practice location
12320 Whistler St
Grand Terrace, CA 92313-5550
Mailing address
12320 Whistler St
Grand Terrace, CA 92313-5550
Phone (909) 800-4796
Other providers in Grand Terrace, CA
- Capacity Physical Therapy & Sports Performance
- Heather Carriedo
- Mary Carrillo
- Deanna Joy Case
- Gabriel Castellanos
- Juan Manuel Castro
- CG Physical Therapy Services Inc
- Charms Property Incorporated
- Grace Griselda Chavez
- Richard S. Cho
All providers in Grand Terrace, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.