Christina Reyna Carrillo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS13434 Issued in CA

Practice address

220 6TH St.
Fowler, CA 93625

Phone

(559) 313-8782

NPI assigned

Jan 2, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2013.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1972849412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 6TH ST",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252440",
            "telephone_number": "559-313-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 6TH ST.",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "93625",
            "telephone_number": "559-313-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CHRISTINA",
        "middle_name": "REYNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Cantu
• Stacy Carbajal Mendoza
• Jennifer Carbajal-Mendoza
• Kimberly Herrera Carbajal
• Antinette Michelle Cardenas, M.S, PPS
• Alyssa Heavyn Castillo
• Juan Castillo Jr.
• Rachel Castro Orellana
• Yamilet Castro
• Milena Cavalcante, M. D.

• All providers in Fowler, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.