Arise Licensed Clinical Social Work Professionals, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23001 Issued in CA

Legal business name

ARISE LICENSED CLINICAL SOCIAL WORK PROFESSIONALS, INC.

Practice address

4113 Scotts Valley Dr
Scotts Valley, CA 95066-4547

Phone

(831) 429-2288

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Carol PruittNPI 1205958246

Title

President

Phone

(831) 429-2288

Specialties & licenses 1

Addresses

Other names 1

• Arise LCSW Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Pruitt, LCSW

  • Clinical Social Worker
  • Scotts Valley, CA
  • NPI 1205958246
  NPD (past) Authorized official

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1255844858",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 SCOTTS VALLEY DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664547",
            "telephone_number": "831-429-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARISE LICENSED CLINICAL SOCIAL WORK PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-429-2288"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen A Alles, D.P.M
• Kylie Allison
• Emmanuel Alvarado
• Anthony P. Giannotti OD Professional Optometric Corp
• Adam Antuna
• Jeffrey Lee Arnold, M.D.
• Melanie Asnani, D.D.S
• Diana G Atchley, RN
• Jennifer Blair Athey, M.D.
• Maria Jose Aviles

• 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 Nov 6, 2017; 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.