Mariposa Healing Place, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

MARIPOSA HEALING PLACE, LLC

Practice address

310 Alta St
Gonzales, CA 93926

Phone

(831) 296-0117

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cristina Sotelo, LCSWNPI 1366574519

Title

Owner/Licensed Clinical Social Wor

Phone

(831) 512-3548

Specialties & licenses 1

Addresses

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.

• Cristina Sotelo, LCSW

  • Clinical Social Worker
  • Gonzales, CA
  • NPI 1366574519
  NPD Authorized official

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1932931466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1641",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939271641",
            "telephone_number": "831-296-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ALTA ST",
            "city": "GONZALES",
            "state": "CA",
            "postal_code": "93926",
            "telephone_number": "831-296-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA HEALING PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "SOTELO",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WOR",
        "authorized_official_telephone_number": "831-512-3548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaeho Joshua Lee, PA-C
• Claire Michelle Lewis, PHARMD
• Daniel Gregory Luba, M.D.
• Christina Mares, MSW
• Mariposa Healing Place Corp
• Alberto Martinez, M.D.
• Annette Duran Mercado
• Ocean Breeze Home Health Inc
• Dolores Pena
• Cristina D Perez

• Social Worker in Gonzales, CA
• Providers in Gonzales, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.