Individual provider Active NPI

Carey Gil, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1083236905
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26685 Issued in CA
Practice address
6940 Santa Teresa Blvd Ste 3
San Jose, CA 95119-1345
Phone
(408) 479-8878
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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 26685 CA Primary

Addresses

Primary practice location

6940 Santa Teresa Blvd Ste 3
San Jose, CA 95119-1345

Mailing address

6940 Santa Teresa Blvd Ste 3
San Jose, CA 95119-1345
Phone (408) 479-8878

Other identifiers 1

IdentifierTypeStateIssuer
26685OtherCALCSW

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lotuscounseling.ca@gmail.com

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
I20250210002267 CA Practitioner - Clinical Social Worker 5698205698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lotus Family ServicesGroup PAC ID 3870023872, 2 clinicians

Practice addresses (Care Compare)

Studio City, CA 91604
Phone (408) 461-7187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26685CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Family Services Clinical CurrentSince Dec 5, 2024 Accepting new patients

Locations

6940 Santa Teresa Blvd
Ste 3
San Jose, CA 95119
Phone (408) 461-7187

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1083236905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-479-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD STE 3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-479-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "CAREY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "26685",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lotuscounseling.ca@gmail.com",
            "affiliation": "N",
            "address_1": "6203 San Ignacio Ave Ste 110",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.