Carrie L Poulson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

99742 Issued in CA

Practice address

9740 Nutby LN
Escondido, CA 92026-4510

Phone

(582) 165-6338

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Carrie Poulson Expressive Art Therapies

  • Clinical Social Worker
  • Escondido, CA
  • NPI 1730890963
  NPD Authorized official

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1093960254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9740 NUTBY LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920264510",
            "telephone_number": "858-216-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 NUTBY LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920264510",
            "telephone_number": "582-165-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSON",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Portillo, D.D.S
• Alicia Yvette Posada
• Post-Acute Physicians of California PC
• Eric Gordon Potwardowski, D.O.
• Regina Poudel, M.D.
• Daria Pourbafrani
• Amber Lynn Powell, RADT, PEER SUPPORT
• Veena Prabhakar, D.O.
• Vijaya KV Prabhu, D.D.S
• Rodolfo Miguel Prado Hernandez

• Clinical Social Worker in Escondido, CA
• Providers in Escondido, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.