Active NPI
Paul Carlo, LCSW, PHD.
- Clinical Social Worker
- Santa Monica, CA
National Provider Identifier
1477824175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW#8955
- Practice address
- 1260 15TH St
Ste 920
Santa Monica, CA 90404 - Phone
- (310) 394-1616
- NPI assigned
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW#8955 | CA | Primary |
Addresses
Primary practice location
1260 15TH St
Ste 920
Santa Monica, CA 90404
Mailing address
1260 15TH St
Ste 920
Santa Monica, CA 90403
Phone (310) 394-1616
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW#8955 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1477824175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "STE 920",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-394-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 15TH ST",
"address_2": "STE 920",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-394-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLO",
"first_name": "PAUL",
"credential": "LCSW, PHD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-26",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW#8955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
- Charles Cardenas
- Cardiology Consultants of Santa Monica Inc
- Edson Enrique Carias
- Tanya Marie Cariveau, PA-C
- Peter Carley, MFT
- Carlos Rodriguez Chiropractic, Inc (Prodigy Chiro-Care & Spinal Rehab)
- Sari Susanna Carlson, LCSW
- Sophie Gabrielle Carlson, MD
- Courtney Dane Carmichael, NURSE PRACTITIONER
- Timothy J Carmody, M. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.