Individual provider Active NPI

Carrie Eskay

  • Clinical Social Worker
  • Yucaipa, CA
National Provider Identifier
1073711354
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18182 Issued in CA
Practice address
12202 1St St
Yucaipa, CA 92399-4358
Phone
(909) 556-5842
NPI assigned
Jul 6, 2007
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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 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 Other name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Care Solutions Group Inc CurrentSince Dec 17, 2021 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.

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

Verify at the official NPI Registry.