Individual provider Active NPI

Carolyn Margrette Engel-Alexander, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1043381775
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 14295 Issued in CA
Practice address
6355 Riverside Ave
Riverside, CA 92506-3163
Phone
(951) 369-5714
Fax
(951) 686-9559
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 14295 CA Primary

Addresses

Primary practice location

6355 Riverside Ave
Riverside, CA 92506-3163

Mailing address

10182 Indiana Ave
Riverside, CA 92503-5304
Phone (951) 509-2400

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
LCS 14295CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Mental Health Department Past Accepting new patients
County of Riverside Department of Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1043381775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10182 INDIANA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035304",
            "telephone_number": "951-509-2400",
            "fax_number": "951-509-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 RIVERSIDE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063163",
            "telephone_number": "951-369-5714",
            "fax_number": "951-686-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL-ALEXANDER",
        "first_name": "CAROLYN",
        "middle_name": "MARGRETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 14295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.