Active NPI
Herman Carrera, ACSW
- Social Worker
- San Francisco, CA
National Provider Identifier
1013328772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 77833
- Practice address
- 1563 Mission St Ste a
San Francisco, CA 94103 - Phone
- (628) 217-5200
- Fax
- (415) 553-3900
- NPI assigned
- May 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 77833 | CA | Primary |
Addresses
Primary practice location
1563 Mission St Ste a
San Francisco, CA 94103
Mailing address
1563 Mission St Ste a
San Francisco, CA 94103-2543
Phone (628) 217-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77833 | CA | MD | Social Worker |
| 115474 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1013328772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 MISSION ST STE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032543",
"telephone_number": "628-217-5200",
"fax_number": "415-553-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 MISSION ST STE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94103",
"telephone_number": "628-217-5200",
"fax_number": "415-553-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRERA",
"first_name": "HERMAN",
"name_prefix": "Mr.",
"credential": "ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-15",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "77833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.