Individual provider Active NPI

Kristine S Estrada, LCSW

  • Clinical Social Worker
  • San Mateo, CA
National Provider Identifier
1982047478
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127680 Issued in CA
Practice address
225 37TH Ave
San Mateo, CA 94403-4324
Phone
(650) 573-2222
NPI assigned
Apr 15, 2013
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127680 CA Primary

Addresses

Primary practice location

225 37TH Ave
San Mateo, CA 94403-4324

Mailing address

PO Box 277402
Sacramento, CA 95827-7402
Phone (408) 821-1867

Other practice location 1

6680 Mercy CT
Fair Oaks, CA 95628
Phone (916) 277-8881

Other names 1

  • Kristine Cameron Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251222003724 CA Practitioner - Clinical Social Worker 7810482320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127680CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Nov 24, 2025 Accepting new patients
Community Health Centers of America CurrentSince Nov 24, 2025 Accepting new patients

Locations

101 N Front St
Ste B
Chowchilla, CA 93610
Phone (559) 201-9181

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 694-3602

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 449-9948

850 W Olive Ave
#A
Merced, CA 95348
Phone (209) 384-1777

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1982047478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277402",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958277402",
            "telephone_number": "408-821-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 37TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034324",
            "telephone_number": "650-573-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6680 MERCY CT",
            "address_purpose": "LOCATION",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "country_code": "US",
            "telephone_number": "916-277-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "KRISTINE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "127680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "CAMERON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.