Active NPI
Carrie Eskay
- Clinical Social Worker
- Yucaipa, CA
National Provider Identifier
1073711354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18182
- Practice address
- 12202 1St St
Yucaipa, CA 92399-4358 - Phone
- (909) 556-5842
- NPI assigned
- Jul 6, 2007
- Last updated
- Aug 24, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18182 | CA | Primary |
Addresses
Primary practice location
12202 1St St
Yucaipa, CA 92399-4358
Mailing address
12447 15TH St
Yucaipa, CA 92399-1785
Phone (909) 795-8888
Other names 1
- Carrie Cotterman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Care Solutions Group Inc | Current | Accepting new patients |
Locations
3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120
23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cognitive & Behavioral Psychologist
- Santa Ana, CA
- NPI 1548614183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1073711354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12447 15TH ST",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923991785",
"telephone_number": "909-795-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12202 1ST ST",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923994358",
"telephone_number": "909-556-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESKAY",
"first_name": "CARRIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "18182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "COTTERMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.