Active NPI
Crisol Alexandria Carter
- Clinical Social Worker
- Bakersfield, CA
National Provider Identifier
1164926663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 121411 | CA | MD | Clinical Social Worker |
| C017816 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott'S Social Services, Inc | Current | Accepting new patients | |
| Kern Bridges Youth Homes, Inc. | Past | Accepting new patients | |
| Kern Bridges Youth Homes, Inc. | Clinical | Past | 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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Bakersfield, CA
- NPI 1215601885
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1154143824
Clinical
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Bakersfield, CA
- NPI 1922601897
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.