Individual provider Active NPI

Caitlin Frances Zahlis, LCSW

  • Clinical Social Worker
  • La Jolla, CA
National Provider Identifier
1417713629
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104823 Issued in CA
Practice address
303 Coast Blvd
La Jolla, CA 92037-4630
Phone
(559) 765-7075
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 104823 CA Primary

Addresses

Primary practice location

303 Coast Blvd
La Jolla, CA 92037-4630

Mailing address

PO Box 12632
La Jolla, CA 92039-2632

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
I20240510000328 CA Practitioner - Clinical Social Worker 6608217476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Julie Manoogian PSYD Psychologist ApcGroup PAC ID 1850722448, 4 clinicians

Practice addresses (Care Compare)

7514 Girard Ave
Suite 3
La Jolla, CA 92037-5156
Phone (858) 213-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104823CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Manoogian PSYD Psychologist Apc CurrentSince Mar 16, 2024 Accepting new patients

Locations

7514 Girard Ave
Ste 3
La Jolla, CA 92037
Phone (858) 213-1014

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1417713629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12632",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920392632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 COAST BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374630",
            "telephone_number": "559-765-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHLIS",
        "first_name": "CAITLIN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.