Individual provider Active NPI

Dylan Rose Carr, MSW

  • Social Worker
  • Issaquah, WA
National Provider Identifier
1427593607
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
340 W Sunset Way Apt C203
Issaquah, WA 98027-3163
Phone
(818) 312-7028
NPI assigned
Dec 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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
Social Worker 104100000X Primary

Addresses

Primary practice location

340 W Sunset Way Apt C203
Issaquah, WA 98027-3163

Mailing address

340 W Sunset Way Apt C203
Issaquah, WA 98027-3163
Phone (818) 312-7028

Other practice location 1

1255 Kendall Rd
San Luis Obispo, CA 93401-8750
Phone (805) 781-3535

Other practice location 2

2450 Meadow ST.
Unit B
San Luis Obispo, CA 93401
Phone (805) 781-3535

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

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1427593607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W SUNSET WAY APT C203",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273163",
            "telephone_number": "818-312-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W SUNSET WAY APT C203",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273163",
            "telephone_number": "818-312-7028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Kendall Rd",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934018750",
            "country_code": "US",
            "telephone_number": "805-781-3535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Meadow ST.",
            "address_2": "Unit B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "93401",
            "country_code": "US",
            "telephone_number": "805-781-3535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "DYLAN",
        "middle_name": "ROSE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.