Individual provider Active NPI

Marisabel Carrillo, ASW

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1023778966
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
555 Cole St
San Francisco, CA 94117-2805
Phone
(415) 386-9398
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 103378 CA
Social Worker 104100000X Primary

Addresses

Primary practice location

555 Cole St
San Francisco, CA 94117-2805

Mailing address

555 Cole St
San Francisco, CA 94117-2805
Phone (415) 437-2500

Other practice location 1

44 Gough St Ste 104
San Francisco, CA 94103-5423
Phone (415) 437-2500

Other practice location 2

350 Girard St
San Francisco, CA 94134-1469
Phone (415) 330-1500

Other practice location 3

2055 Silver Ave
San Francisco, CA 94124-2032
Phone (415) 642-8901

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103378CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1023778966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COLE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172805",
            "telephone_number": "415-437-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 COLE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941172805",
            "telephone_number": "415-386-9398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Gough St Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941035423",
            "country_code": "US",
            "telephone_number": "415-437-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Girard St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941341469",
            "country_code": "US",
            "telephone_number": "415-330-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Silver Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941242032",
            "country_code": "US",
            "telephone_number": "415-642-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MARISABEL",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "103378",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "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 Jun 10, 2025; 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.