Individual provider Active NPI

Cristina Em Nolf, LCSW; MPA; CHC; CHPC

  • Clinical Social Worker
  • Long Beach, CA
National Provider Identifier
1932269370
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW23261 Issued in CA
Practice address
135 Hermosa Ave
Long Beach, CA 90802-6132
Phone
(805) 680-7846
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW23261 CA Primary
Clinical Social Worker 1041C0700X 111866 MA

Addresses

Primary practice location

135 Hermosa Ave
Long Beach, CA 90802-6132

Mailing address

135 Hermosa Ave
Long Beach, CA 90802-6132
Phone (805) 680-7846

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
LCSW23261CAMDClinical Social Worker
111866MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1932269370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HERMOSA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908026132",
            "telephone_number": "805-680-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HERMOSA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908026132",
            "telephone_number": "805-680-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLF",
        "first_name": "CRISTINA",
        "middle_name": "EM",
        "name_prefix": "Mrs.",
        "credential": "LCSW; MPA; CHC; CHPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW23261",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.