Individual provider Active NPI

Crisol Alexandria Carter

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1164926663
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121411 Issued in CA
Practice address
1780 Glenwood Dr
Bakersfield, CA 93306-4230
Phone
(661) 794-8657
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C017816 NC
Behavior Technician 106S00000X
Clinical Social Worker 1041C0700X 121411 CA Primary

Addresses

Primary practice location

1780 Glenwood Dr
Bakersfield, CA 93306-4230

Mailing address

125 Leo Dr
Mount Holly, NC 28120-1739
Phone (661) 794-8657

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

LicenseStateTypeSpecialty
121411CAMDClinical Social Worker
C017816NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scott'S Social Services, Inc CurrentSince Dec 22, 2024 Accepting new patients
Kern Bridges Youth Homes, Inc. PastSince Jul 1, 2021 Accepting new patients
Kern Bridges Youth Homes, Inc. Clinical PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 3

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1164926663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LEO DR",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281201739",
            "telephone_number": "661-794-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 GLENWOOD DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064230",
            "telephone_number": "661-794-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CRISOL",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017816",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.