Individual provider Active NPI

Angelica Maria Carrasco

  • Clinical Social Worker
  • Escondido, CA
National Provider Identifier
1265169296
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW105681 Issued in CA
Practice address
105 N Rose St Ste 211
Escondido, CA 92027-3109
Phone
(760) 855-6660
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW105681 CA
Clinical Social Worker 1041C0700X ASW105681 CA Primary

Addresses

Primary practice location

105 N Rose St Ste 211
Escondido, CA 92027-3109

Mailing address

105 N Rose St Ste 211
Escondido, CA 92027-3109
Phone (760) 855-6660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acarrasco@usacof.org

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

LicenseStateTypeSpecialty
ASW105681CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
National Association for the Treatment of Sexual Abuse CurrentSince Aug 7, 2022 Accepting new patients

Locations

105 N Rose St
Ste 211
Escondido, CA 92027
Phone (760) 224-5939

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1265169296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N ROSE ST STE 211",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273109",
            "telephone_number": "760-855-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N ROSE ST STE 211",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273109",
            "telephone_number": "760-855-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW105681",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW105681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarrasco@usacof.org",
            "affiliation": "N",
            "address_1": "105 N Rose St Ste 211",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920273109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.