Carol Pruitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23001 Issued in CA

Practice address

4113 Scotts Valley Dr Ste 104
Scotts Valley, CA 95066-4547

Phone

(831) 429-2288

Fax

(831) 461-9700

NPI assigned

Apr 3, 2007

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

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.

• Arise Licensed Clinical Social Work Professionals, Inc.

  • Clinical Social Worker
  • Scotts Valley, CA
  • NPI 1255844858
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1205958246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4161",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950634161",
            "telephone_number": "831-429-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 SCOTTS VALLEY DR STE 104",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664547",
            "telephone_number": "831-429-2288",
            "fax_number": "831-461-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "CAROL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Pirir
• Arnold Grant Plemons, PH.D.
• Jesabel Poblano Tafolla
• Julio Cesar Porro, M.D.
• Ronald Steven Pratt
• Denise Louise Quinn, DPT
• Natalya Quintanilla
• Kareem Raad, M.D.
• Ivette Ramos Silva, MD
• Sara Raya

• Clinical Social Worker in Scotts Valley, CA
• Providers in Scotts Valley, 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 Jul 16, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.