Provider Demographics
NPI:1376765099
Name:AUER, CHRISTINA MARIA (MSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIA
Last Name:AUER
Suffix:
Gender:F
Credentials:MSW, ACSW
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:MARIA
Other - Last Name:AUER-ARRIAGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:16062 HUNTINGTON GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-7627
Mailing Address - Country:US
Mailing Address - Phone:909-573-7520
Mailing Address - Fax:
Practice Address - Street 1:1720 E. 120TH STREET
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90059
Practice Address - Country:US
Practice Address - Phone:310-668-4303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW201461041C0700X
CALCS 264601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00007302Medicaid
CACB17671OtherLA DMH PROVIDER
CAE531826OtherLA CO. DEPT. OF MENTAL HEALTH