Individual provider Active NPI

Carla Carreno Salazar, LCSW

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1053734673
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW76428 Issued in CA
Practice address
5720 Ralston St Ste 100
Ventura, CA 93003-7845
Phone
(805) 777-3531
NPI assigned
Feb 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 LCSW76428 CA Primary

Addresses

Primary practice location

5720 Ralston St Ste 100
Ventura, CA 93003-7845

Mailing address

1719 Cochran St Apt F
Simi Valley, CA 93065-2172
Phone (805) 638-7858

Other names 1

  • Carla Carreno Salazar Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002485 CA Practitioner - Clinical Social Worker 4880034305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW76428CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Mar 18, 2024 Accepting new patients
County of Ventura CurrentSince Mar 18, 2024 Accepting new patients
County of Ventura Current Accepting new patients

Locations

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Organizations & group practices 3

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": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1053734673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 COCHRAN ST APT F",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652172",
            "telephone_number": "805-638-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037845",
            "telephone_number": "805-777-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "CARLA",
        "middle_name": "CARRENO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-03",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "SALAZAR",
            "middle_name": "CARRENO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.