Provider Demographics
NPI:1265329015
Name:UNITED WAY OF SAN JOAQUIN COUNTY
Entity type:Organization
Organization Name:UNITED WAY OF SAN JOAQUIN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRTWHISTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-469-6980
Mailing Address - Street 1:777 N PERSHING AVE STE 2B
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95203-2154
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:777 N PERSHING AVE STE 2B
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95203-2154
Practice Address - Country:US
Practice Address - Phone:209-469-6980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
No332U00000XSuppliersHome Delivered Meals