Individual provider Active NPI

Christy Stinson, LCSW

  • Social Worker
  • San Diego, CA
National Provider Identifier
1992420665
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
26276 Issued in CA
Practice address
4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100
Phone
(619) 858-3105
Fax
(619) 280-5420
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26276 CA Primary

Addresses

Primary practice location

4025 Camino del Rio S Ste 250
San Diego, CA 92108-4100

Mailing address

19198 Ricardo Ranch Rd
Valley Center, CA 92082-6825
Phone (949) 636-1020

Other practice location 1

19198 Ricardo Ranch Rd
Valley Center, CA 92082-6825
Phone (949) 636-1020

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
I20231227003108 CA Practitioner - Clinical Social Worker 0143670547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Enriching Relationships IncGroup PAC ID 0143506667, 10 clinicians

Practice addresses (Care Compare)

4025 Camino del Rio S
Suite 250
San Diego, CA 92108-4100
Phone (619) 858-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26276CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Enriching Relationships, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

4025 Camino del Rio S
Ste 250
San Diego, CA 92108
Phone (619) 280-3430

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1992420665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19198 RICARDO RANCH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826825",
            "telephone_number": "949-636-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084100",
            "telephone_number": "619-858-3105",
            "fax_number": "619-280-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19198 Ricardo Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Valley Center",
            "state": "CA",
            "postal_code": "920826825",
            "country_code": "US",
            "telephone_number": "949-636-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINSON",
        "first_name": "CHRISTY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "26276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.