Lily Carr, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

75910 Issued in CA

Practice address

106 Marian Way
Pismo Beach, CA 93449-3225

Phone

(805) 858-8576

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kevin Parzych a Medical Corp

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1033586714
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1194367144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934480681",
            "telephone_number": "805-858-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MARIAN WAY",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493225",
            "telephone_number": "805-858-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "LILY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Collier DPM Inc
• Nichole Christine Calderon, RBT
• Christopher Allen Canclini, MA
• David Alan Canvasser, M.D.
• Jessica Cardenas Cordova, BA
• Central Coast Cardiothoracic Surgical Associates-a Medical Group
• Central Coast Orthopedic Medical Group
• CF Imaging and Supplies, LLC
• Kathleen Chak
• Amanthi Chandrasena, M.D.

• Clinical Social Worker in Pismo Beach, CA
• Providers in Pismo Beach, 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 Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.