Individual provider Active NPI

Carol Nagle, PH.D., LCSW

  • Clinical Social Worker
  • Napa, CA
National Provider Identifier
1245340702
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11835 Issued in CA
Practice address
2180 Jefferson St
Suite # 209
Napa, CA 94559-1250
Phone
(707) 252-7811
Fax
(707) 226-9026
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS11835 CA Primary

Addresses

Primary practice location

2180 Jefferson St
Suite # 209
Napa, CA 94559-1250

Mailing address

2180 Jefferson St
Suite # 209
Napa, CA 94559-1250
Phone (707) 252-7811

Other names 1

  • Carol Nagle Brown Former name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS11835CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1245340702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 JEFFERSON ST",
            "address_2": "SUITE # 209",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591250",
            "telephone_number": "707-252-7811",
            "fax_number": "707-226-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 JEFFERSON ST",
            "address_2": "SUITE # 209",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945591250",
            "telephone_number": "707-252-7811",
            "fax_number": "707-226-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGLE",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PH.D.,  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "BROWN",
            "middle_name": "NAGLE",
            "credential": "MSW,  LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.