MEDICARE: CHRISTINA POPE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	127317	CA

General Provider Information

NPI Number	:	1881401503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA POPE LCSW

Provider Business Mailing Address
First Line	:	2801 B ST UNIT 2266
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-2208
Country	:	US
Telephone Number	:	858-727-8654
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 B ST UNIT 2266
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92102-2208
Country	:	US
Telephone Number	:	858-727-8654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	12/16/2024

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Directions to “ CHRISTINA POPE LCSW” Practice Location

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