Carlie Dayle Galloway, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64234 Issued in CA

Practice address

11420 Warner Ave
Fountain Valley, CA 92708-2529

Phone

(714) 549-1300

NPI assigned

Oct 9, 2018

Last updated

Oct 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1265907984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 ORIZABA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044929",
            "telephone_number": "318-332-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082529",
            "telephone_number": "714-549-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "CARLIE",
        "middle_name": "DAYLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "9390",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Joseph Gajarsa, M.D.
• Angelica Galarza
• Jason Dean Galbraith, R1558470424
• Guadalupe Virginia Galindo Martinez, MSW, ASW
• Guadalupe Liset Gallegos, MSW
• Stacey L Galvin, LMFT #40424
• Tiffany Galvizo
• Sahil Gambhir, M.D.
• Karissa Rossi Gambina, LMFT 117142
• Sabina Malik Gandhi, MD, MPH

• Clinical Social Worker in Fountain Valley, CA
• Providers in Fountain 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 Oct 9, 2018; 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.