Karly Crockett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

72585

Practice address

650 Clark Way
Palo Alto, CA 94304

Phone

(650) 326-5530

NPI assigned

Sep 5, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Karly Comfort Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1013318419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042300",
            "telephone_number": "650-326-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CLARK WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-326-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 E Virginia St Ste 280",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951125817",
            "country_code": "US",
            "telephone_number": "408-287-6200",
            "fax_number": "408-998-1535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "KARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "72585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLY",
            "last_name": "COMFORT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrice Siapno Crisostomo, PH.D.
• Susan Ashley Crisp, NP-C
• Brandii Chylon Criss, M.D.
• Alaina Anne Critchlow, MD
• Elizabeth Ashley Crockett-Chaney, PSYD
• Jeffrey Craig Croke, M.D.
• Nicola A Croll, PSYD
• Brendan Joseph Cronin, MD
• Ileen Faith Cronin, FNP-BC, APRN, MSN
• Stephanie Theresa Crosby, M. ED

• Clinical Social Worker in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.