Organization Active NPI

Cristina E. Freese L.C.S.W.

  • Clinical Social Worker
  • Huntington Beach, CA
National Provider Identifier
1912326570
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW26653 Issued in CA
Legal business name
CRISTINA E. FREESE L.C.S.W.
Practice address
18800 Delaware St
Suite 308
Huntington Beach, CA 92648-1959
Phone
(714) 917-9933
NPI assigned
Apr 10, 2014
Last updated
Apr 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Cristina E Freese, L.C.S.W.NPI 1154441996
Title
Licensed Clinical Social Worker
Phone
(714) 917-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW26653 CA Primary

Addresses

Primary practice location

18800 Delaware St
Suite 308
Huntington Beach, CA 92648-1959

Mailing address

16458 Bolsa Chica St
#234
Huntington Beach, CA 92649-2603
Phone (714) 917-9933

Other identifiers 1

IdentifierTypeStateIssuer
1154441996OtherCALCSW

National Provider Directory

National Provider Directory

Locations

18800 Delaware St
Ste 308
Huntington Beach, CA 92648
Phone (714) 917-9933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1912326570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16458 BOLSA CHICA ST",
            "address_2": "#234",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492603",
            "telephone_number": "714-917-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST",
            "address_2": "SUITE 308",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-917-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA E. FREESE L.C.S.W.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "FREESE",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "714-917-9933",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW26653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "1154441996",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.