Provider Demographics
NPI:1225581671
Name:OJEDA, CRISTINA (MSW)
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:OJEDA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 GREEN BRIER BLVD APT 52B
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2655
Mailing Address - Country:US
Mailing Address - Phone:646-560-3236
Mailing Address - Fax:
Practice Address - Street 1:3545 GREEN BRIER BLVD APT 52B
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2655
Practice Address - Country:US
Practice Address - Phone:646-560-3236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY085347-11041C0700X
MI68011023951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
WI331043Medicare Oscar/Certification
WI331947Medicare Oscar/Certification
WI331943Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification
WI331946Medicare Oscar/Certification
WI331009Medicare Oscar/Certification
WI331945Medicare Oscar/Certification
NY00695941Medicaid
WI331954Medicare Oscar/Certification
WI331944Medicare Oscar/Certification
WI331952Medicare Oscar/Certification
WI331978Medicare Oscar/Certification
NYG100000410Medicare Oscar/Certification