Paula Defrisco, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS27899 Issued in CA

Legal business name

PAULA DEFRISCO, LCSW

Practice address

11549 Los Osos Valley Rd
Suite 200
San Luis Obispo, CA 93405-6471

Phone

(805) 235-2800

Fax

(805) 439-2487

NPI assigned

Jul 28, 2016

Last updated

Jul 28, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PAULA DEFRISCO, LCSW, INC.As reported in NPPES

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

Authorized official

Name

Paula Defrisco, LCSWNPI 1477692283

Title

Owner

Phone

(805) 235-2800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula J. Defrisco, L.C.S.W.

  • Clinical Social Worker
  • Denver, CO
  • NPI 1477692283
  NPD (past) Authorized official

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1427501105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 FUNSTON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015683",
            "telephone_number": "805-235-2800",
            "fax_number": "805-439-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 LOS OSOS VALLEY RD",
            "address_2": "SUITE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056471",
            "telephone_number": "805-235-2800",
            "fax_number": "805-439-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA DEFRISCO, LCSW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAULA DEFRISCO, LCSW, INC.",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "DEFRISCO",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-235-2800",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS27899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Marie Patten, BCBA
• Stephanie Patterson
• Paul D. Wetzel, M.D. Inc (San Luis Gastroenterology)
• Haddasah Adrielle Paul
• Richard Paul
• Linda Lois Pauli
• Mark Paulick, MD
• Avery John Paulson, RN, NP
• Peaceful Mind, Inc.
• Peak Enterprise, LLC (Emride)

• Mental Health Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.