Individual provider Active NPI

Marian Dietzgen Carapezza, LCSW

  • Clinical Social Worker
  • Salinas, CA
National Provider Identifier
1275726879
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14236 Issued in CA
Practice address
984 Lupin Dr Ste 5
Salinas, CA 93906-3956
Phone
(831) 796-3905
Fax
(831) 796-3906
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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 14236 CA Primary

Addresses

Primary practice location

984 Lupin Dr Ste 5
Salinas, CA 93906-3956

Mailing address

154 Central Ave
Salinas, CA 93901-2657
Phone (831) 601-3096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201001403 CA Practitioner - Clinical Social Worker 0244552388 Practice locations: Salinas, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Maple St
Suite F
Salinas, CA 93901-3249
Phone (831) 601-3096

11 Maple St F
Salinas, CA 93901-3249

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14236CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1275726879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CENTRAL AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012657",
            "telephone_number": "831-601-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 LUPIN DR STE 5",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063956",
            "telephone_number": "831-796-3905",
            "fax_number": "831-796-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAPEZZA",
        "first_name": "MARIAN",
        "middle_name": "DIETZGEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "14236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.