Active NPI
Stephanie Castillo
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1952072449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 103342
- Practice address
- 6540 Lusk Blvd Ste C138A
San Diego, CA 92121-2767 - Phone
- (619) 500-4196
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 103342 | CA | Primary |
Addresses
Primary practice location
6540 Lusk Blvd Ste C138A
San Diego, CA 92121-2767
Mailing address
6540 Lusk Blvd Ste C138A
San Diego, CA 92121-2767
Phone (619) 500-4196
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1952072449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 LUSK BLVD STE C138A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212767",
"telephone_number": "619-500-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6540 LUSK BLVD STE C138A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212767",
"telephone_number": "619-500-4196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "103342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.