Active NPI
Erica Kardonsky, LCSW
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1164826947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76063
- Practice address
- 9815 Carroll Canyon Rd Ste 101
San Diego, CA 92131-1123 - Phone
- (805) 234-5714
- Fax
- (858) 408-7141
- NPI assigned
- Oct 22, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 76063 | CA | |
| Mental Health Counselor | 101YM0800X | 76063 | CA | Primary |
Addresses
Primary practice location
9815 Carroll Canyon Rd Ste 101
San Diego, CA 92131-1123
Mailing address
12061 Tivoli Park Row Unit 1
San Diego, CA 92128-4383
Phone (805) 234-5714
Other practice location 1
1012 Main St
#101
Ramona, CA 92065-2170
Phone (760) 788-9724
Other practice location 2
9666 Businesspark Ave Ste 201
San Diego, CA 92131-1646
Phone (805) 234-5714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76063 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1164826947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12061 TIVOLI PARK ROW UNIT 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284383",
"telephone_number": "805-234-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 CARROLL CANYON RD STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311123",
"telephone_number": "805-234-5714",
"fax_number": "858-408-7141"
}
],
"practiceLocations": [
{
"address_1": "1012 Main St",
"address_2": "#101",
"address_purpose": "LOCATION",
"city": "Ramona",
"state": "CA",
"postal_code": "920652170",
"country_code": "US",
"telephone_number": "760-788-9724",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9666 Businesspark Ave Ste 201",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921311646",
"country_code": "US",
"telephone_number": "805-234-5714",
"fax_number": "858-408-7141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARDONSKY",
"first_name": "ERICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-22",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76063",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "76063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Tara Karamlou, MD
- Thomas Karan
- Sophia Karandashova, MD, PHD, MS
- Navaz P Karanjia, MD
- Kelli Christine Karches, M.D., MPH
- Zahra Kardos, RN, PHN, WHNP-BC
- Jennifer Karel
- Karelia Home Health Care LLC
- Christopher Karem, DPT
- Karen del Fierro Monroy, Licensed Clinical Social Worker, Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.