Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khristal Rochelle Ponce, LCSW

Individual provider Social Worker · NPI 1619728342

Khristal Rochelle Ponce, LCSW is a Social Worker in Fairfield, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2420 Martin Rd Ste 200
Fairfield, CA 94534-8610
Phone: (707) 428-4198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Social Worker Taxonomy 104100000X · Licence 81784 (CA)

Record details

NPI number1619728342
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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